Get Nd Dot Sfn 51386 2015

DRIVERS LICENSE DIVISION ND DEPARTMENT OF TRANSPORTATION 608 E BOULEVARD AVE BISMARCK ND 58505-0750 REQUEST FOR DRIVER ABSTRACT North Dakota Department of Transportation SFN 51386 Rev. 02-2015 Driver License Number Date of Birth Subject s Name Subject s Address City State Zip Code Name of Requestor Company Name if applicable Mailing Address Signature of Requestor REQUESTOR S INFORMATION Please check one of the following I am requesting a copy of my own record. REASON I give my written consent for the above Requestor to obtain a complete copy of my driving record. Signature THIS RECORD IS FOR a prospective employer of a Commercial Driver s License holder must have written consent. an employer of a Commercial Driver s License holder. an employer or prospective employer for non-commercial driving purposes. a government agency including any court or law enforcement agency performing its function for an approved purpose. insurance purposes use by a parent of a child under 18 years of age other please explain There is a 3 fee for each record required* Record requests and the fee may be mailed to address listed above. You may fax your request along with credit card number expiration date and V-code to 701 328-2435. You may also purchase and print a limited copy of a driving record online at https //secure. apps. state. nd. us/dot/dlts/dlos/welcome. htm* All record requests are mailed from the Driver s License Division* Please allow 5-7 business days for processing time. REASON I give my written consent for the above Requestor to obtain a complete copy of my driving record. Signature THIS RECORD IS FOR a prospective employer of a Commercial Driver s License holder must have written consent. Signature THIS RECORD IS FOR a prospective employer of a Commercial Driver s License holder must have written consent. an employer of a Commercial Driver s License holder. an employer or prospective employer for non-commercial driving purposes. an employer of a Commercial Driver s License holder. an employer or prospective employer for non-commercial driving purposes. a government agency including any court or law enforcement agency performing its function for an approved purpose. a government agency including any court or law enforcement agency performing its function for an approved purpose. insurance purposes use by a parent of a child under 18 years of age other please explain There is a 3 fee for each record required* Record requests and the fee may be mailed to address listed above. insurance purposes use by a parent of a child under 18 years of age other please explain There is a 3 fee for each record required* Record requests and the fee may be mailed to address listed above. You may fax your request along with credit card number expiration date and V-code to 701 328-2435. You may also purchase and print a limited copy of a driving record online at https //secure. You may fax your request along with credit card number expiration date and V-code to 701 328-2435. You may also purchase and print a limited copy of a driving record online at https //secure. apps. state. nd. us/dot/dlts/dlos/welcome. htm* All record requests are mailed from the Driver s License Division* Please allow 5-7 business days for processing time. .