2020 OR DoE 581-2282-M-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name as it appears on your license in the designated fields for Last Name, First Name, and Middle Name.
3. Fill in your Date of Birth using the MM/DD/YY format and select your sex from the provided options.
4. List any other names you have previously used, including maiden names, in the appropriate field.
5. Enter your Social Security Number and Driver License/Identification Card Number. Remember, providing your SSN is voluntary.
6. Complete your mailing address by filling out the Full Street Address/Post Office Box, City, State, and Zip + 4 fields.
7. Answer the criminal history questions honestly. If applicable, indicate whether you have ever been convicted of any crimes listed under question 1.
8. Sign and date the form at the bottom to confirm that all information is accurate and complete.

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