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Get CA DMV INF 1125 2000

BIRTH DATE MO/DAY/YR DMV USE ONLY ID Verified by Cashier Line Date This request may be presented in person to your local DMV office or mailed to DMV Headquarters Department of Motor Vehicles P. O. Box 944247 MS G199 INF 1125 REV. 11/2000 WWW Sacramento CA 94244-2470 Complete if mailing. Send information to Print your name and address clearly in the box. CUT ON LINE AND KEEP THIS PART FOR YOUR RECORDS NAME Tambi n disponible en espa ol Clear Form Print. Complete boxes A B RECORD Complete boxes C D A. CALIF. DRIVER LICENSE/ID NUMBER C. CALIF. LICENSE/CF NUMBER B. BIRTH DATE MO/DAY/YR DMV USE ONLY ID Verified by Cashier Line Date This request may be presented in person to your local DMV office or mailed to DMV Headquarters Department of Motor Vehicles P. O. Box 944247 MS G199 INF 1125 REV. 11/2000 WWW Sacramento CA 94244-2470 Complete if mailing. Send information to Print your name and address clearly in the box. A Public Service Agency REQUEST FOR YOUR OWN DRIVER LICENSE/IDENTIFICATION CARD DL/ID OR VEHICLE/VESSEL REGISTRATION VR INFORMATION RECORD FEE 5. 00 FOR EACH CURRENT RECORD Write your DL/ID number or plate or VIN on the front or the back of your check. DO NOT COMPLETE THIS FORM UNLESS YOU ARE REQUESTING YOUR OWN DL/ID RECORD OR YOU ARE THE CURRENT VR REGISTERED OWNER ON FILE WITH THE DEPARTMENT. REQUESTER S INFORMATION PLEASE PRINT CLEARLY FULL LEGAL NAME FIRST MI LAST ADDRESS CITY STATE ZIP CODE DAYTIME TELEPHONE SIGNATURE DATE X Check box es for type of record s you are requesting. Complete boxes A B RECORD Complete boxes C D A. CALIF* DRIVER LICENSE/ID NUMBER C. CALIF* LICENSE/CF NUMBER B. BIRTH DATE MO/DAY/YR DMV USE ONLY ID Verified by Cashier Line Date This request may be presented in person to your local DMV office or mailed to DMV Headquarters Department of Motor Vehicles P. CUT ON LINE AND KEEP THIS PART FOR YOUR RECORDS NAME Tambi n disponible en espa ol Clear Form Print. A Public Service Agency REQUEST FOR YOUR OWN DRIVER LICENSE/IDENTIFICATION CARD DL/ID OR VEHICLE/VESSEL REGISTRATION VR INFORMATION RECORD FEE 5. 00 FOR EACH CURRENT RECORD Write your DL/ID number or plate or VIN on the front or the back of your check. 00 FOR EACH CURRENT RECORD Write your DL/ID number or plate or VIN on the front or the back of your check. DO NOT COMPLETE THIS FORM UNLESS YOU ARE REQUESTING YOUR OWN DL/ID RECORD OR YOU ARE THE CURRENT VR REGISTERED OWNER ON FILE WITH THE DEPARTMENT. DO NOT COMPLETE THIS FORM UNLESS YOU ARE REQUESTING YOUR OWN DL/ID RECORD OR YOU ARE THE CURRENT VR REGISTERED OWNER ON FILE WITH THE DEPARTMENT. REQUESTER S INFORMATION PLEASE PRINT CLEARLY FULL LEGAL NAME FIRST MI LAST ADDRESS CITY STATE ZIP CODE DAYTIME TELEPHONE SIGNATURE DATE X Check box es for type of record s you are requesting. REQUESTER S INFORMATION PLEASE PRINT CLEARLY FULL LEGAL NAME FIRST MI LAST ADDRESS CITY STATE ZIP CODE DAYTIME TELEPHONE SIGNATURE DATE X Check box es for type of record s you are requesting. Complete boxes A B RECORD Complete boxes C D A. CALIF* DRIVER LICENSE/ID NUMBER C. CALIF* LICENSE/CF NUMBER B. .

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