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Click ‘Get Form’ to open the Credit Card Authorization Form in the editor.
Begin by filling out the 'CREDIT CARD HOLDER INFORMATION' section. Select your credit card type (Visa or MasterCard) and enter your credit card number, ensuring accuracy.
For Visa cards, provide the VIN code. Then, input the expiration date in mm/yy format and write your name as it appears on the card.
Indicate whether you are paying a reinstatement fee or another amount by checking the appropriate box and entering the total amount to be charged.
Fill in your daytime phone number and sign where indicated, along with the date of signing.
Next, complete the 'RECORD/DRIVER INFORMATION' section by entering your name as it appears on your driver’s license, record/driver license number, or alternatively, your date of birth and SSN.
If requesting a clearance letter, note that an additional fee applies. Allow 3 business days for processing before mailing it to the provided address.
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Forms, Division of Motor Vehicles, State of Alaska
The following are some of our most widely used forms. Most of the forms are set up so that you can type the information on the form and print it.Read more
There is a $10 fee for each type of driving record selected.
Shows current driving record status, and 3 or 5 year history of convictions, license actions, and at-fault accidents required for vehicle insurance.Read more
Alaska.gov/dmv. FULL. LEGAL. NAME: First. Middle. Last. Suffix. AK license / permit / ID number, if applicable. Date of Birth. Sex. Height ft in. Weight. HairRead more
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