DSD SR-21.4 - cyberdriveillinois 2026

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The document provides instructions for completing and submitting a General Release Form to the Illinois Secretary of State's Driver Services Department. It outlines necessary steps such as obtaining notarized signatures, including personal identification details, and filing an SR22 Certificate of Insurance for driver's license reinstatement. The processing time for submitted paperwork is also mentioned, along with a method to check the status of the driver's license.

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Click ‘Get Form’ to open the DSD SR-21.4 in the editor.
Begin by entering your Driver’s License Number, full name, and Date of Birth in the designated fields.
In the 'Accident No.' section, provide the relevant accident number for reference.
Fill in the 'Insurance Claim/File No.' for both parties involved in the release.
Specify the amount being released in the 'For and in consideration of' section.
Complete the details regarding the accident location and date, ensuring accuracy.
Both parties must sign where indicated, and ensure that signatures are notarized as required.
Review all entries for completeness before submitting your form to ensure a smooth processing experience.

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How to check license status in Illinois?

If you need further information, please contact the Secretary of States office by phone at 800-252-8980 (Illinois only) or by completing the Drivers License contact form or the Title and Registration contact form.