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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Record Holder’s Information section. Enter your first name, middle initial, last name, date of birth, and either your Missouri Driver License number or Social Security number.
Next, provide your mailing address, daytime telephone number, city, state, zip code, and email address. This information is crucial for receiving your records.
Select the type of record you are requesting by checking the appropriate box. Options include Driver Record, Clearance Letter, Image Portfolio, Temporary Driving Privilege, or Other.
Indicate how you would like to receive the records by selecting mail, fax (with an additional fee), or email. If choosing mail or fax, provide the necessary alternate address or fax number.
Complete the Payment Options and Signature section. Choose your payment method and fill in any required card details if applicable.
Finally, sign and date the form in the designated area and ensure it is notarized before submission.
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Form 4681 - Request From Driver License Record Holder
Records can be obtained by walk-in, mail-in, fax, or e-mail request. The fee is $2.82 per record. Requests that are submitted by mail-in, can only submitRead more
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