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DVA VL-1 APPLICATION FOR VETERAN S FLAG ON DRIVER LICENSE OR IDENTITY CARD 1. SERVICE MEMBER S PERSONAL INFORMATION All Applicants Must Complete This Section Mo Day Year Date of Birth CT Driver s License or Identity Card Number Last Name First Name Middle Initial Mailing Address Street Address if different from mailing address City State Zip Code Primary Phone Number Secondary Phone Number E-Mail ALL APPLICANTS MUST SUBMIT DOCUMENTATION WITH THIS....
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