FIA License

2021 ACCUS/FIA License Registrant Information

I, the undersigned, hereby apply for an FIA Driver’s License to be issued by the Automobile Competition Committee for the United States, FIA, Inc.*

Name*

Country*

Address*

City, State and ZIP Code*

Date of Birth*

Email*

Phone (Cell) Number*

Are You A United States Citizen?*

Yes
No

Have You Had A Previous FIA Competition License?*

Yes
No

Please select all of the FIA License types you are applying for:

License Type*

Competition License Only ($325.00)
Entrant License ($325.00)
Navigator ($325.00)
FIA - CIK Karting License (12 years +) ($325.00)
USAC National Karting License (Under 12 Years Old) ($175.00)

Do you need International Competition Authorization?*

Yes - $150
No

Do you need processing within 72 hours? ($200.00)

On-Line Processing Fee $0.00

By typing my name below, I agree to the above information is accurate in my application for an FIA Competition License as issued by The Automobile Competition Committee for the United States, FIA, Inc.

Name*

Date Field*

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