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Click ‘Get Form’ to open it in the editor.
Begin by entering the Record Holder’s Information. Fill in your First Name, Middle Initial, Last Name, Date of Birth, and Missouri Driver License Number. Ensure all details are accurate.
Provide your Daytime Telephone Number and Mailing Address, including City, State, and Zip Code. This information is crucial for communication regarding your request.
Select the type of record you are requesting by checking the appropriate box: Driver Record, Clearance Letter, Image Portfolio, Temporary Driving Privilege, or Other. If selecting 'Other', specify your request.
Indicate how you would like the records sent if different from your mailing address. Fill in the alternate name and address if applicable.
Choose your payment option and provide necessary details if paying by card. Remember to sign and date the form at the bottom.
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