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Click ‘Get Form’ to open it in the editor.
Begin with Section A, where you will enter your Requestor Information. Fill in your name, business name (if applicable), phone number, street address, city, state, and zip code. If you are requesting your own record, include a photocopy of your current driver’s license or valid ID.
Proceed to Section B to specify the information requested. Indicate whether you are requesting your own record or another's by checking the appropriate box. Provide the complete driver license number or full name, address, and date of birth.
If applicable, complete Section C by initialing next to the permitted uses that apply to your request for another's record and provide a written explanation of the reason for your request.
Finally, review and sign Section D to agree to the terms and conditions outlined. Ensure all required fields are completed before submitting.
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