Form 419m - Company Release For Multiple Driving Records
Download a blank fillable Form 419m - Company Release For Multiple Driving Records in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 419m - Company Release For Multiple Driving Records with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1STATE OF ALASKA
DIVISION OF MOTOR VEHICLES
COMPANY RELEASE FOR MULTIPLE DRIVING RECORDS
The undersigned do hereby authorize the State of Alaska, Division of Motor Vehicles, to release
my driving record to the following business or company:
Softech International Inc
888-318-7979
Company or Business Name (Please Print)
Telephone Number
ALASKA #
PRINTED NAME
RECORD TYPE
SIGNATURE
DATE
(Valid for 90 days)
x
x
5 year
Full
Please provide either a fax number or mailing address where you would like the records sent:
Please fax this signed release form to 1-205-879-5703
Mailing Address
Fax Number
City / State / Zip
Make checks payable to DMV or complete the following when making payment by credit card.
MasterCard, Visa or Discover #
Exp. Date
For Softech Use Only:
Name as shown on card (Must be YOUR credit card or Company credit card.)
I understand that the credit card shown above will be charged $10.00 for each record requested.
___________________
Authorized Cardholder Signature
Date (Valid for 90 days)
Mail or fax completed form to:
1-907-269-5202
Division of Motor Vehicles
Attn.: Research
1300 W Benson Boulevard, Suite 200
Anchorage AK 99503-3600
Rev. 04/25/2012
Form 419m
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal