Get Driving Record Release Form

Driving Record Release form Auto Fund Division 2260 11th Ave. Regina Sask S4P 2N7 A copy of your driver abstract must be provided to the Driver Improvement Training DIT instructor prior to your first session. If you have any questions call 306-775-6936 or 306-775-6196. Instructions Complete the form and email or fax a copy to SGI Driver Records in Regina at driverrecords sgi. Driving Record Release form Auto Fund Division 2260 11th Ave. Regina Sask S4P 2N7 A copy of your driver abstract must be provided to the Driver Improvement Training DIT instructor prior to your first session* If you have any questions call 306-775-6936 or 306-775-6196. Instructions Complete the form and email or fax a copy to SGI Driver Records in Regina at driverrecords sgi. sk. ca or 306-569-9631. Driver Information Name Last First Middle Birth Date Customer Number MM/DD/YY Phone Number DIT Course Deadline Disclosure I hereby authorize Saskatchewan Government Insurance SGI to disclose all information concerning my driving record including convictions motor vehicle accidents and my driving status to the following driver educator Driver Educator Name Fax Number or Email address Driver Signature Date Signed Note Email is not considered a secure method of sending personal information This facsimile is confidential and intended solely for the use of the individual or entity to whom it is addressed* If you are not the named addressee please notify the sender immediately that you have received this facsimile by mistake and please return the original message to us at the above address at our cost. If you are not the intended recipient you are notified that using disclosing copying or distributing the contents of this information is strictly prohibited* www. Instructions Complete the form and email or fax a copy to SGI Driver Records in Regina at driverrecords sgi. sk. ca or 306-569-9631. Driver Information Name Last First Middle Birth Date Customer Number MM/DD/YY Phone Number DIT Course Deadline Disclosure I hereby authorize Saskatchewan Government Insurance SGI to disclose all information concerning my driving record including convictions motor vehicle accidents and my driving status to the following driver educator Driver Educator Name Fax Number or Email address Driver Signature Date Signed Note Email is not considered a secure method of sending personal information This facsimile is confidential and intended solely for the use of the individual or entity to whom it is addressed* If you are not the named addressee please notify the sender immediately that you have received this facsimile by mistake and please return the original message to us at the above address at our cost. sk. ca or 306-569-9631. Driver Information Name Last First Middle Birth Date Customer Number MM/DD/YY Phone Number DIT Course Deadline Disclosure I hereby authorize Saskatchewan Government Insurance SGI to disclose all information concerning my driving record including convictions motor vehicle accidents and my driving status to the following driver educator Driver Educator Name Fax Number or Email address Driver Signature Date Signed Note Email is not considered a secure method of sending personal information This facsimile is confidential and intended solely for the use of the individual or entity to whom it is addressed* If you are not the named addressee please notify the sender immediately that you have received this facsimile by mistake and please return the original message to us at the above address at our cost. If you are not the intended recipient you are notified that using disclosing copying or distributing the contents of this information is strictly prohibited* www.