Request For Driver Abstract - North Dakota Department Of Transportation

Download a blank fillable Request For Driver Abstract - North Dakota Department Of Transportation 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 Request For Driver Abstract - North Dakota Department Of Transportation 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

DRIVERS LICENSE DIVISION
REQUEST FOR DRIVER ABSTRACT
ND DEPARTMENT OF TRANSPORTATION
North Dakota Department of Transportation
608 E BOULEVARD AVE
SFN 51386 (Rev. 02-2015)
BISMARCK ND 58505-0750
Driver
Date
License
of
Number
Birth
Subject's Name
Subject's Address
City
State
Zip Code
Name of Requestor
Company Name ( if applicable)
Mailing Address
City
State
Zip Code
Signature of Requestor
REQUESTOR'S INFORMATION
Please check one of the following:
I am requesting a copy of my own record. REASON:
I am requesting the record of another person
and their written consent is below:
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://secure.apps.state.nd.us/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.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go