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Get ND DoT SFN 51386 2016

REQUEST FOR DRIVER ABSTRACT North Dakota Department of Transportation Drivers License SFN 51386 11-2016 DRIVERS LICENSE DIVISION ND DEPARTMENT OF TRANSPORTATION 608 E BOULEVARD AVE BISMARCK ND 58505-0750 Driver License Number Date of Birth Subject s Name Subject s Address City State ZIP Code Name of Requestor Company Name if applicable Mailing Address Signature of Requestor Please check one of the boxes below Send the driving record to Requestor s address REQUESTOR S INFORMATION I am requesting a copy of my own record. REASON I give my written consent for the above Requestor to obtain a complete copy of my driving record. Signature THIS RECORD IS FOR a prospective employer of a Commercial Driver s License holder must have written consent. an employer of a Commercial Driver s License holder. an employer or prospective employer for non-commercial driving purposes. a government agency including any court or law enforcement agency performing its function for an approved purpose. insurance purposes. use by a parent of a child under 18 years of age. other please explain There is a 3 fee for each record required* Record requests and the fee may be mailed to address listed above. You may fax your request along with credit card number expiration date and V-code to 701 328-2435. You may also purchase and print a limited copy of a driving record online at https //apps. nd. gov/dot/dlts/dlos/welcome. htm* All record requests are mailed from the Driver s License Division* Please allow 5-7 business days for processing time. REASON I give my written consent for the above Requestor to obtain a complete copy of my driving record. Signature THIS RECORD IS FOR a prospective employer of a Commercial Driver s License holder must have written consent. Signature THIS RECORD IS FOR a prospective employer of a Commercial Driver s License holder must have written consent. an employer of a Commercial Driver s License holder. an employer or prospective employer for non-commercial driving purposes. an employer of a Commercial Driver s License holder. an employer or prospective employer for non-commercial driving purposes. a government agency including any court or law enforcement agency performing its function for an approved purpose. a government agency including any court or law enforcement agency performing its function for an approved purpose. insurance purposes. use by a parent of a child under 18 years of age. other please explain There is a 3 fee for each record required* Record requests and the fee may be mailed to address listed above. insurance purposes. use by a parent of a child under 18 years of age. other please explain There is a 3 fee for each record required* Record requests and the fee may be mailed to address listed above. You may fax your request along with credit card number expiration date and V-code to 701 328-2435. You may also purchase and print a limited copy of a driving record online at https //apps. You may fax your request along with credit card number expiration date and V-code to 701 328-2435. You may also purchase and print a limited copy of a driving record online at https //apps. nd. gov/dot/dlts/dlos/welcome. htm* All record requests are mailed from the Driver s License Division* Please allow 5-7 business days for processing time. .

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