Before you start

A Paraguayan cédula de identidad — which means residence first
Blood typing (tipificación sanguínea), original plus a certified copy
A Certificado de Vida y Residencia from your local comisaría
A first-aid knowledge certificate
If you hold a licence from another Paraguayan municipality, its cancellation plus an OPACI cancellation certificate

Step-by-step

1
Cancel any other Paraguayan municipal licence first
The Municipalidad states plainly that a licence 'del interior' must be cancelled and an OPACI certificate of cancellation produced. OPACI is the inter-municipal cooperation body that keeps the municipalities from issuing in parallel.
In personWho: You
2
Get the Certificado de Vida y Residencia at your comisaría
Issued by the local police station under Policía Nacional Resolución N° 293/2014 — and note the published caveat that the station chief may ask for additional information at his discretion, so requirements vary slightly by comisaría.
In personWho: You
3
Do the medical and psychometric tests
Sight and hearing (Gs 14,700) and a psicotécnico (Gs 27,500). From age 65 the psicotécnico must be repeated every year rather than at each renewal.
In personWho: YouGs 42,200 combined
4
Sit the theory and practical exams
Gs 65,900 each. Foreign licence holders are not automatically exempt: exemption from the exams turns on ANTSV Resolución N° 069/2019, which the Municipalidad cites for the diplomatic category. Ask at the counter with your foreign licence in hand rather than assuming.
In personWho: YouGs 131,800
5
Pay and collect at Bloque C
The remaining items are the sworn declaration form (Gs 50,300), photo and card (Gs 70,500), the antecedents certificate (Gs 10,000), the first-aid certificate (Gs 52,000) and the 2026 stamp duty (Gs 600).
In personWho: YouSame dayGs 357,400 total for a new licence

Documents you’ll need

Paraguayan cédula de identidad, original plus a copy authenticated by the Municipalidad
Blood typing certificate, original plus authenticated copy
Certificado de Vida y Residencia from the local comisaría
Sight and hearing test, psicotécnico
First-aid knowledge certificate
Sworn declaration about medical conditions and addictions
A photocopy of the expired licence, if renewing
OPACI cancellation certificate, if you held a licence elsewhere in Paraguay

Things most newcomers don’t know

The requirements are national; the licence is municipal.

ANTSV sets one rulebook for every municipality, so the paperwork does not change if you move within Paraguay — but the issuing office does, and so does the fee schedule, because each municipality prices its own.

One person, one municipal licence.

Asunción requires cancellation of any other Paraguayan municipal licence plus an OPACI certificate. Someone who moves from Capiatá or Ciudad del Este into Asunción cannot simply apply afresh.

Source: Municipalidad de Asunción

The Certificado de Vida y Residencia is discretionary at the edges.

The Policía Nacional publishes the observation that the comisaría chief may request further information, which is why two people in different barrios report different document lists for the same certificate.

Source: Policía Nacional — Resolución N° 293/2014

Common mistakes to avoid

Assuming a foreign licence exempts you from the exams — that turns on ANTSV Resolución N° 069/2019 and is not automatic for ordinary residents.
Turning up without the cédula. There is no route to a Paraguayan licence on a passport for an ordinary resident.
Arriving on a Saturday afternoon — the Saturday window closes at 11:00.
Assuming the Gs 357,400 is a single fee; it is ten separate line items and each is paid.

Some of this may be out of date. Spotted something inaccurate? Help us keep it right for the next newcomer.