A Guide to Driving in the U.S. for International Nurses

 Allison Minger • November 25, 2025

A Guide to Driving in the U.S. for International Nurses 

Relocating to a new country is both exciting and overwhelming, especially when it comes to navigating daily life, like learning to drive and applying for a U.S. driver’s license. If you’re an international nurse moving to the United States, we’re here to walk you through everything you need to know, from preparing before your move to getting on the road safely and confidently.

 

Why Having a U.S. Driver’s License Matters 


While public transportation is available in many U.S. cities, most areas rely heavily on driving. A U.S. driver’s license gives you the freedom to commute to work, run errands, explore your new community, and travel across the country. 


It’s important to note that each U.S. state sets its own rules for driver’s licenses, so the requirements where you’ll live may differ from other states. 


Understanding State Requirements 


Every state’s Department of Motor Vehicles (DMV) oversees driver’s licenses. As a permanent resident, you can apply for a license in the state where you live. 


Here’s what to do: 

  • Check your state DMV website for ID and residency requirements. 
  • Learn about application fees and testing requirements. 
  • Schedule an appointment if required (many DMVs require one in advance). 


A state-issued U.S. driver’s license allows you to drive anywhere in the country. 


Using an International Driving Permit (IDP) 


If you already know how to drive and have a license from your home country, you may be able to use an International Driving Permit (IDP) when you first arrive. 


An IDP is essentially a translation of your national driver’s license into 10 languages (including English, Spanish, and French). It helps U.S. authorities understand your driving credentials and is recognized in over 150 countries. 


Keep in mind: 


  • Your IDP must be used alongside your valid national driver’s license; it is not a standalone document. 
  • You must apply for the IDP in your home country before you come to the U.S. 
  • In the U.S., only the American Automobile Association (AAA) and the American Automobile Touring Alliance (AATA) are authorized to issue IDPs. 


Eligibility for an IDP 


You can apply if: 


  • You’re at least 18 years old. 
  • You hold a valid, non-expired driver’s license (not a learner’s permit). 
  • Your domestic license isn’t suspended or revoked. 
  • The IDP is valid for one year from the date of issue. 


How to Obtain an IDP 


The process varies by country but usually involves: 


  1. Contacting your country’s motor vehicle department to confirm specific requirements. 
  2. Completing an application form, often available online at your local government office or automobile association. 
  3. Providing two passport-sized photographs with your signature on the back. 
  4. Submitting a photocopy of the front and back of your valid domestic driver’s license. 
  5. Paying a permit fee, which is typically around the equivalent of $20. 
  6. Receiving your IDP either through the mail or in person, depending on your country’s process. 


Learning How to Drive in the U.S. 



If you don’t already know how to drive, you can learn once you arrive in the U.S. Each state has its own process, but here’s what to generally expect: 


  • Apply for a Learner’s Permit: 
  • Most states require you to pass a written knowledge test on road signs, traffic laws, and safe driving practices. 
  • You’ll need proof of identity, residency, and legal presence in the U.S. 
  • Practice Driving: 
  • With a learner’s permit, you can drive only when accompanied by a licensed adult driver (often over age 21). 
  • It’s highly recommended to enroll in a state-approved driving school for hands-on lessons and to gain confidence behind the wheel. 
  • Pass the Road Test: 
  • Once you’ve had enough supervised practice (requirements vary by state), you can schedule a road skills test at your local DMV. 
  • The test includes demonstrating basic driving skills like parking, turning, lane changes, and following traffic signals. 
  • Get Your Driver’s License: 
  • After passing the road test, you’ll be issued a state driver’s license. 
  • Some states offer a probationary or provisional license for new drivers, which may include restrictions such as no nighttime driving or passenger limits.

 

If you’re new to U.S. traffic laws, consider studying the state’s driver handbook (available online on most DMV websites) and practicing in a low-traffic area before your road test. 


DMV Checklist for Your U.S. Driver’s License 


Before heading to the DMV, make sure you have: 


  • Passport (with visa/immigration documents) 
  • Proof of lawful presence in the U.S. (e.g., green card) 
  • Proof of state residency (like a utility bill or lease) 
  • Social Security card or proof of ineligibility letter 
  • Your foreign driver’s license (if applicable) 
  • Completed application form 
  • Payment for application and testing fees 


Country-Specific Guidance 


For Nurses Relocating from the Philippines 


If you are currently in the Philippines and plan to drive in the U.S.: 


  • Apply for a Philippine International Driving Permit (PIDP) through the Automobile Association Philippines (AAP) or accredited agencies (e.g., LGCT Travel, Hello PH Travel Agency, DLS Travel and Tours, LHOYS Travel). 
  • Requirements for dual citizens: valid Philippine driver’s license, passport, ID photos, and processing fee. 
  • Requirements for permanent residents: valid driver’s license, passport, Alien Certificate of Registration (ACR), ID photos, and processing fee. 
  • If you need to learn to drive in the Philippines, complete: 
  • 15-Hour Theoretical Driving Course (TDC) 
  • 8-Hour Practical Driving Course (PDC) 
  • Both must be completed at LTO-accredited providers and certificates uploaded to the LTMS. 


For a full list of countries recognizing the PIDP, visit the AAP website


For Nurses Relocating from Other Countries 


  • Apply for an IDP through your home country’s motor vehicle department or authorized automobile association
  • Requirements and fees vary, so check official government sources for details. 
  • Keep your home country license valid, as the IDP is only valid alongside it. 


Car Insurance Basics for New Drivers 


Before you hit the road, you’ll need car insurance, as it’s legally required in most U.S. states. 


Here’s what to know: 


  • Insurance costs vary by state, your driving history, age, and the car you own. 
  • At a minimum, most states require liability insurance, which covers damages to others in an accident you cause. 
  • Consider comprehensive or collision insurance for better protection. 
  • Shop around and compare quotes; some insurers offer discounts for safe driving, bundling policies, or having certain safety features in your car. 


Resources for International Drivers in the U.S. 


Driving in a new country can feel overwhelming, but there are several resources that can help you understand U.S. driving rules and best practices: 


  • USA.gov: A government website with resources for foreign drivers in the U.S., plus other helpful relocation information. 
  • National Safety Council (NSC): A non-profit organization that focuses on road safety education and preventing injuries and fatalities. 
  • American Automobile Association (AAA): Also known as “Triple-A,” this membership organization offers driving tips, roadside assistance, and is one of the only U.S. entities authorized to issue IDPs. 


You’re Supported Every Step of the Way 


Starting a new life in the U.S. as an international nurse is a huge milestone, and learning to drive in a new country can feel overwhelming. But you don’t have to navigate it on your own. By following this guide and staying organized with the right resources, you’ll feel more confident and prepared as you build your new life in the United States. 


Moving to the U.S. is a brave and life-changing decision. With the right support, you can approach each step. Remember, you don’t have to figure everything out alone. WorldWide HealthStaff Solutions is here to guide you every step of the way, making your relocation smoother and helping you thrive in your new nursing career. 

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