Get Form 4676 - Affidavit Of Lost Destroyed Or Stolen License And Affidavit To Confirm Identification

Filling out the Form 4676 is a necessary step for individuals who have lost, destroyed, or had their license stolen. This guide will help you understand how to complete the form online, ensuring your submission is correct and complete.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by filling out the License Holder’s Information section. Enter your last name, first name, middle name, social security number, and date of birth in the designated fields.
3. Provide your place of employment along with your work and home telephone numbers. Ensure that the format is consistent for clarity.
4. Indicate whether your license has been lost, destroyed, or stolen by selecting the appropriate checkbox.
5. Answer the questions regarding the photo shown at the license office. Indicate whether the photo is of you and if you know who the person shown is.
6. If someone impersonated you, provide any relevant information about that individual in the space provided.
7. List the documents you are presenting to substantiate your identity, ensuring to provide accurate details.
8. At the end of the form, select what kind of license you are applying for: driver license, nondriver license, or permit.
9. Sign and date the affidavit, ensuring that the date is correctly formatted.
10. If applicable, provide your mailing address for where you would like your new document sent.
11. Submit the completed form by saving your changes, downloading it, and following any necessary steps to print or share the form as required.

Complete your Form 4676 online today to ensure your identification needs are met promptly.