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Get CA DMV Form DS 699 2011

(DMV) to reevaluate a driver's ability to drive safely. 2. Sign this request in the signature block provided. You may request that your name not be revealed to the individual being reported. Confidentiality will be honored to the fullest extent possible. 3. Take your completed request to any DMV office or mail to: DMV, Driver Safety Office (see addresses below for your local office.) Note: All fields marked with an asterisk (*) are required. * * NAME OF PERSON BEING REPORTED (FIRST, M.I., LAST.

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