Free Missouri 4681 PDF Template Modify Form Online

Free Missouri 4681 PDF Template

The Missouri 4681 form is a request form used by individuals to authorize the release of their driver license records. This form must be completed, signed, and notarized to ensure the protection of personal information. For those looking to obtain their records efficiently, consider filling out the form by clicking the button below.

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Table of Contents

How to Use Missouri 4681

Completing the Missouri 4681 form is essential for individuals who wish to authorize the release of their driver license records. The process involves filling out personal information, selecting the type of records requested, and providing payment details. After submission, the request will be processed, and the records will be sent to the designated address or method.

  1. Obtain the Missouri 4681 form from the official website or a local license office.
  2. Fill in your personal information, including:
    • First Name
    • Middle Initial
    • Last Name
    • Date of Birth (MM/DD/YYYY)
    • Missouri Driver License or Social Security Number
    • Daytime Telephone Number
    • Mailing Address
    • City
    • State
    • Zip Code
    • E-Mail Address
  3. Select the type of records you are requesting by checking the appropriate box:
    • Driver Record
    • Clearance Letter (No Fee Required)
    • Image Portfolio (Black and White Photo)
    • Temporary Driving Privilege (No Fee Required)
    • Other (Specify)
  4. If you want the records sent to a different address, check "Yes" and provide the alternate mailing address or fax number.
  5. Indicate your payment method and provide the necessary details. Include:
    • Payment amount
    • Name as it appears on the card (if using a credit/debit card)
    • Card Number
    • Expiration Date
  6. Sign and date the form, affirming that the information is true and complete.
  7. Have the form notarized. The notary will need to sign and provide their name and commission expiration date.
  8. Mail the completed form to the Driver License Bureau at the address provided on the form.

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Document Features

Fact Name Description
Form Purpose The Missouri 4681 form is used to request the release of driver license records or other documents containing personal information.
Approval Requirement Record holders must approve the release of their driver license records; without this approval, requests will be denied.
Submission Requirements The form must be completed, signed, and notarized for the request to be processed successfully.
Personal Information Personal information includes details such as name, address, date of birth, and social security number.
Non-Personal Information Non-personal information may include driving history and zip code, which can be shared without specific consent.
Fees The fee for obtaining records is $2.82 per record, with additional convenience fees for credit or debit card transactions.
Governing Law This form is governed by the Missouri Revised Statutes, specifically sections related to driver records and personal information privacy.

Key takeaways

Understanding the Missouri 4681 form is essential for anyone looking to request driver license records. Here are some key takeaways to keep in mind:

  • Approval Required: The record holder must approve the release of their driver license records. Without this approval, your request will be denied.
  • Notarization Needed: The form must be completed, signed, and notarized. This step is crucial to ensure the validity of the request.
  • Alternative Access: For a quicker option, individuals can visit mydmv.mo.gov or a local license office for non-restricted driver record information.
  • Personal Information Defined: The form requires personal information such as name, address, date of birth, and driver license number. This information is sensitive and should be handled carefully.
  • Non-Personal Information: Non-personal information that can be requested includes driving history and zip code. This information does not require the same level of approval.
  • Multiple Request Methods: Records can be requested through walk-in, mail-in, or e-mail methods. Choose the one that best suits your needs.
  • Fees Involved: There is a fee of $2.82 per record. Additional convenience fees apply for credit or debit card transactions.
  • Payment Options: Payments can be made using cash, check, or credit/debit cards. Ensure you have the necessary details ready if paying by card.
  • Contact Information: For any inquiries, you can reach the Driver License Bureau at (573) 526-2407 or via e-mail at dlrecords@dor.mo.gov.

Filling out the Missouri 4681 form correctly can streamline your request process and help you obtain the necessary records efficiently.