Missouri Driver License Record Holder Request Form
The Missouri Driver License Record Holder Request Form allows individuals to request copies of their driver license records. This form must be completed, signed, and notarized. It ensures the protection of personal information while providing access to necessary records.
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How do I fill this out?
To fill out the Missouri Driver License Record Holder Request Form, begin by entering your personal information accurately. Next, select the method for receiving your records and provide the necessary payment details. Finally, ensure that the form is signed and notarized before submission.

How to fill out the Missouri Driver License Record Holder Request Form?
1
Complete your personal information in the designated fields.
2
Choose a method for receiving the records.
3
Provide payment details as required.
4
Sign the form to validate your request.
5
Notarize the document as instructed.
Who needs the Missouri Driver License Record Holder Request Form?
1
Individuals needing personal driving records for job applications.
2
Insurance companies verifying driving history.
3
Legal representatives gathering information for cases.
4
Government agencies requiring proof of driving history.
5
Personal records management for individuals.
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What are the instructions for submitting this form?
To submit the Missouri Driver License Record Holder Request Form, you may mail the completed form to the Driver License Bureau at P.O. Box 2167, Jefferson City, MO 65105-2167. You can also fax the request to (573) 526-7367 or email it to dlrecords@dor.mo.gov. Ensure you include all necessary information, payment details, and notarization for an efficient processing of your application.
What are the important dates for this form in 2024 and 2025?
Keep in mind that the form is revised periodically. Check for updates in September each year to ensure you have the most current version.

What is the purpose of this form?
The purpose of this Missouri Driver License Record Holder Request Form is to facilitate individuals in obtaining copies of their driver license records securely. It serves as a means to ensure that personal information is protected and only released with the record holder's authorization. This helps maintain confidentiality while allowing access to necessary driving history for legal and administrative purposes.

Tell me about this form and its components and fields line-by-line.

- 1. First Name: The first name of the record holder.
- 2. Middle Initial: The middle initial of the record holder, if applicable.
- 3. Last Name: The last name of the record holder.
- 4. Date of Birth: The record holder's date of birth.
- 5. Driver License Number: The driver's license number of the record holder.
- 6. Social Security Number: The social security number of the record holder.
- 7. Mailing Address: The address where records should be sent.
- 8. Daytime Telephone Number: A contact number for any inquiries.
- 9. E-Mail Address: An email address for correspondence.
What happens if I fail to submit this form?
Failure to submit this form correctly can result in denial of your request for driver license records. It is crucial to ensure all required fields are filled out accurately. Missing or inaccurate information can cause delays in processing your request.
- Incomplete Information: If any required fields are left blank, the request will not be processed.
- Missing Notarization: Failure to notarize the document will lead to automatic denial of the request.
- Incorrect Payment: If payment is not received or is incorrect, your request cannot be fulfilled.
- Unclear Submission Instructions: Not following submission guidelines can result in delays and confusion.
- Contact Issues: Inaccurate contact information can hinder communication regarding your request.
How do I know when to use this form?

- 1. Job Applications: Employers often require driving history for positions involving driving.
- 2. Insurance Verification: Insurance companies may request access to driving records for policy processing.
- 3. Legal Matters: Attorneys may need this information for legal cases involving their clients.
- 4. Personal Reference: Individuals may wish to keep a personal record of their driving history.
- 5. Government Requirements: Certain agencies may require proof of driving history for various purposes.
Frequently Asked Questions
How can I request my driver license records?
You can request your driver license records by filling out the Missouri Driver License Record Holder Request Form.
What information do I need to provide?
You need to supply your personal details such as name, address, and driver license number.
Is there a fee for obtaining records?
Yes, there is a nominal fee of $2.82 per record requested.
How will I receive my records?
You can choose to receive your records by mail, fax, or email.
Do I need to notarize the request form?
Yes, the form must be signed and notarized to be valid.
Can I edit my request form on PrintFriendly?
Yes, you can edit the PDF form directly on PrintFriendly before finalizing.
What payment methods are accepted?
You can pay using cash, check, debit, or credit cards.
How do I contact the Department of Revenue?
You can reach them at (573) 526-2407 or email dlrecords@dor.mo.gov.
What should I do if my submission is denied?
You should verify that your form is complete and properly notarized.
Where do I mail my completed form?
Mail it to the Driver License Bureau at P.O. Box 2167, Jefferson City, MO 65105-2167.
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