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Get DC DMN-DIO-RHA-002 2016-2024

suspensions, point revocations or child support revocations.*** CUSTOMER INFORMATION FULL LEGAL NAME LAST NAME FIRST NAME MIDDLE NAME ADDRESS CITY TELEPHONE NUMBER DRIVER LICENSE NUMBER SUFFIX DATE STATE ZIP CODE E-MAIL ADDRESS STATE DATE OF BIRTH CHARGE DATE OF CHARGE PLEASE COMPLETE THIS SECTION  YES  NO Have you had a subsequent arrest for drinking and driving?  YES  NO Have you been charged with a traffic violation since you were revoked or suspended?  .

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