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IS FORM UNLESS YOU ARE REQUESTING YOUR OWN DL/ID RECORD OR YOU ARE THE CURRENT VR REGISTERED OWNER ON FILE WITH THE DEPARTMENT. REQUESTER S INFORMATION PLEASE PRINT CLEARLY FULL LEGAL NAME (FIRST, MI, LAST) ADDRESS CITY STATE ZIP CODE CA DAYTIME TELEPHONE ( ) SIGNATURE DATE X Check box(es) for type of record(s) you are requesting. DRIVER LICENSE/ID RECORD (Complete boxes A & B ) VEHICLE/VESSEL REGISTRATION RECORD (Complete boxes C & D) A. CALIF. DRIVER LICENSE/ID NUMBER C. CALI.

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