Form LIC116 template
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License/ID Cancellation Request Form
This form is for Massachusetts residents who have moved to another jurisdiction and wish to cancel their Massachusetts license or ID card. The form requires the signatory to provide their name, Massachusetts license/ID number, customer signature, date, and address as it appears on the Massachusetts license or ID card. Additionally, the signatory must specify their new licensing jurisdiction. The form includes instructions that if they return to Massachusetts and apply for a license or ID, they will need to convert their out-of-state license/ID and surrender it to the Massachusetts RMV.
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