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DL-21SC (5-17) 2026
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- Click ‘Get Form’ to open the DL-21SC (5-17) in the editor.
- Begin with Section A: Driver Information. Enter your full name, address, driver license number, city, state, and zip code. Ensure all information is accurate and typed in blue or black ink.
- Move to Section B: Vehicle Information. List all vehicles you own or have permission to operate. Include the plate number, title number, VIN, and year/make for each vehicle. If applicable, check the box indicating a violation occurred prior to 10/1/03.
- In Section C: Statement of Ownership/Non-Ownership, check the appropriate box regarding ownership status. Print your name and provide your signature and date. If applying for a hardship exemption or stating vehicles are inoperable, follow the additional instructions provided.
- Finally, if you are a vendor completing Section D, verify the information from Sections B and C before signing and dating this section.
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