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How to fill out the Form 4595 online
Form 4595 is the Application for Limited Driving Privilege offered by the Missouri Department of Revenue. This guide provides step-by-step instructions on how to successfully fill out the form online, ensuring you have all the necessary information at hand.
Follow the steps to complete the form online
- Click ‘Get Form’ button to access the application and open it for editing.
- Enter your driver license number in the designated field.
- Provide your date of birth in the format MM/DD/YYYY.
- Fill in your full name as requested (Last, First, Middle Initial).
- Input your social security number in the specified section.
- Enter your street address, ensuring that you do not use a P.O. Box.
- Complete the city, state, and zip code fields associated with your street address.
- If your mailing address differs from your street address, please fill it in accordingly, followed by the city, state, and zip code.
- Provide your email address and phone number as required.
- Select at least one reason for requesting a limited driving privilege by checking the appropriate box, and fill in additional information where indicated.
- If applicable, list your proof of insurance details and any necessary information regarding an ignition interlock device.
- Sign the application to certify that all information is accurate before dating the application in the specified format MM/DD/YYYY.
- Save, download, or print your completed application form for submission. Then, send it to the address listed on the form.
Complete and submit your Form 4595 online today to ensure your application is processed without delay.
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