Itd 3120 - Idaho Driver'S License Record Request

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Idaho Driver's License
ITD 3120 (Rev. 02-17)
Record Request
itd.idaho.gov
If the request is mailed, please enclose the proper fee.
• Do not send cash in the mail.
• Make check or money order payable to the Idaho Transportation Department.
• No refunds will be processed whether or not a record is found.
In accordance with Idaho Code Section 49-202, and Administrative Rule Number
Mark One
Use 1, 2, 3 or 4
39.02.41, I hereby request the driving record(s) of the following:
From Fee
3-Year
Entire
Schedule Below
Record
Record
Name
Driver's License Number
Date of Birth
Requester's Name/Business Name
Telephone (If None, State "None")
Requester's Address
City
State
Zip
For Personal Requests Only
Need Previous or Original Issue Date
Fax or Email Back to
Yes
No
Fax
Email
Authorization Statement
In order to receive motor vehicle or driver records under Idaho Code Section 49-203 (see list on page 2), I certify
under penalty of perjury pursuant to the law of the State of Idaho, that I meet the authorization requirements and
that the use of such information will be strictly limited to the use described.
Requester's Signature
Date
Authorization (Select From List on Page 2)
MasterCard or Visa Number
Expiration Date Security Code
Cardholder’s Authorization Signature
Fee Schedule
How to Submit Completed Request
1. Driver's License Record (DLR) .........................
$ 7.00
Mail To: Driver Services
2. Photocopy per document ..................................
$ 7.00
Idaho Transportation Department
3. DLR plus Certification .......................................
$ 21.00
PO Box 34
Boise ID 83731-0034
4. DLR plus copies of File Documents ..................
$ 14.00
(i.e., Citations, Suspension Orders, etc.)
Phone:
(208) 334-8736
Fax:
(208) 334-8739
TOTAL REMITTANCE $
Email: ITDDriverRecords@itd.idaho.gov
Credit card purchases are subject to an ITD service fee.
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