Follow the steps to fill out the AZ ADOT 43-5106 form online.

1. Press the ‘Get Form’ button to access the AZ ADOT 43-5106 form and open it in the editor.
2. Begin by entering your full name in the 'Complainant' section, including your first, middle, last name, and any suffix.
3. Provide your home phone number and work phone number, ensuring to include area codes.
4. Input your driver license number for identification purposes.
5. Fill in your complete mailing address, including city, state, and zip code.
6. Clearly state the nature of your complaint in the designated area. Include all relevant details about the situation, and if necessary, use the reverse side for additional information.
7. If your complaint involves a vehicle, detail the vehicle’s year, make, model, vehicle identification number, and plate number. Also, mention if the incident was reported to law enforcement, including the agency’s name and case number.
8. For vehicle ownership verification, attach copies of pertinent documents such as the certificate of title or registration.
9. If your complaint pertains to a driver license, attach a photocopy of the driver license in question.
10. If applicable, provide detailed information about the person using your driver license, including their name, date of birth, address, phone number, and employment information.
11. In the certification section, verify that all provided information is true, complete, and correct.
12. Signature: Sign the form in the presence of a notary or an ADOT agent and gather all necessary notary information.
13. Finally, review the completed form for accuracy, then save changes, download, print, or share the form as needed.

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