Free Missouri 4595 PDF Template Modify Form Online

Free Missouri 4595 PDF Template

The Missouri 4595 form is an application used to request a limited driving privilege from the Missouri Department of Revenue. This form is crucial for individuals who need to operate a vehicle under specific circumstances, such as for employment or educational purposes. Completing this application promptly can help alleviate transportation hardships, so take action now by filling out the form below.

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Table of Contents

How to Use Missouri 4595

Completing the Missouri 4595 form is an important step toward obtaining limited driving privileges. This process requires careful attention to detail to ensure all necessary information is accurately provided. Follow the steps below to fill out the form correctly.

  1. Obtain the Missouri 4595 form from the Missouri Department of Revenue website or your local office.
  2. Fill in your Driver License Number and Date of Birth in the specified format (MM/DD/YYYY).
  3. Enter your Name in the format of Last, First, Middle Initial.
  4. Provide your Social Security Number.
  5. Complete your Street Address (do not use a P.O. Box), along with your City, State, and ZIP Code.
  6. If your mailing address is different, fill in the Mailing Address, City, State, and ZIP Code.
  7. Include your E-mail Address and Phone Number in the specified format.
  8. Select at least one reason for requesting a limited driving privilege by checking the appropriate box(es) and provide any required additional information.
  9. If applicable, ensure you have proof of insurance (such as an SR-22) ready to submit with the application.
  10. If you need to provide proof of Ignition Interlock Device (IID) service or installation, gather that documentation as well.
  11. Sign and date the application in the designated areas.
  12. Mail the completed form to the address provided: Driver License Bureau, P.O. Box 200, Jefferson City, MO 65105-0200.

Once your application is submitted, it will be reviewed. If approved, you will receive an order granting your limited driving privilege by mail. Remember to carry the original copy of the Limited Driving Privilege Notice with you whenever you operate a motor vehicle.

Common PDF Templates

Missouri State Tax Form - Failure to comply with regulations may result in the revocation of certification by the Department.

Kansas Mechanics Lien - Instructions for completing the form are provided, aiming to aid applicants in compliance.

Document Features

Fact Name Description
Purpose of Form The Missouri 4595 form is used to apply for a Limited Driving Privilege, allowing individuals to drive under specific circumstances despite a suspended or revoked license.
Eligibility Criteria Applicants must demonstrate a valid reason for needing limited driving privileges, such as employment, education, or medical needs. Supporting documentation is required.
Proof of Insurance To submit the application, proof of insurance (SR-22) must be on file with the Director of Revenue. This ensures that applicants maintain necessary coverage while driving.
Governing Law This form is governed by Missouri Revised Statutes, specifically Section 302.309, which outlines the requirements and procedures for limited driving privileges.
Submission Details Completed applications should be mailed to the Driver License Bureau in Jefferson City. Contact information is provided for any questions or additional guidance.

Key takeaways

Here are some key takeaways about filling out and using the Missouri 4595 form:

  • Purpose of the Form: The Missouri 4595 form is used to apply for a Limited Driving Privilege, allowing individuals to drive under specific circumstances.
  • Eligibility: You must have a valid reason for requesting limited driving privileges, such as employment, education, or medical needs.
  • Required Information: Fill in your driver license number, date of birth, name, social security number, and contact information accurately.
  • Proof of Insurance: You must provide proof of insurance, such as an SR-22, when submitting the application.
  • Additional Documentation: If applicable, include proof of Ignition Interlock Device (IID) service or installation.
  • Signature and Date: Don’t forget to sign and date the application before sending it in.
  • Keep a Copy: Once approved, carry the original Limited Driving Privilege Notice while driving.

Following these steps can help ensure a smoother application process. If you have questions, you can reach out to the Driver License Bureau for assistance.