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Records Request Contact Form
The Records Management Division is responsible for receiving, processing, and maintaining all documents and records related to driving records (including traffic-related convictions) and
traffic collisions
.
*
Indicates Required Field
*
Last Name:
*
First Name:
Middle Initial:
*
Date of Birth:
(Format: mm/dd/yyyy)
Driver License/ID Number:
State of Issuance:
Select State
AA
AE
AK
AL
AO
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
JP
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UE
UT
VA
VI
VT
WA
WI
WV
WY
*
Street Address:
*
City:
*
State:
Select State
AA
AE
AK
AL
AO
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
JP
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UE
UT
VA
VI
VT
WA
WI
WV
WY
*
Zip:
(no dashes e.g. 555554444)
*
Email Address:
*
A Brief Explanation Concerning Your Request:
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