Form 419f - Request For Driving Record
Download a blank fillable Form 419f - Request For Driving Record in PDF format just by clicking the "DOWNLOAD PDF" button.
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Complete Form 419f - Request For Driving Record with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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2Instructions for AK Driving Record Release
Applicant/employee should fill out the following information ONLY:
Record type, choose one of the following:
•
o Full Record Non-CDL (for Non-CDL licenses)
o Record for CDL Employment / CDL Holder (for CDL licenses)
Requestor Name
•
Phone number
•
AK Driver’s License Number OR Date of Birth & SSN
•
Initial the box in the Release area
•
Signature and Date of Requestor
•
Do NOT fill out the credit card information OR sign the credit card authorization at
the bottom. Please leave those BLANK.
Once filled out, please fax to (800) 403-9044.
DO NOT SEND DIRECTLY TO THE STATE!
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Parent category: Legal