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Get Mi Cscl/lce - 014 2021-2024

EMPORARY MILITARY DEPENDENT LICENSE APPLICATION Authority: 1980 PA 299, MCL 338.3434a, and 42 USC 654 Name (First, Middle, Last) Date of Birth Address City U.S. Social Security Number State E-mail Address Zip Code Telephone Number Required Additional Documents Proof that you are the dependent of a member of the Armed Forces who is on active duty. Proof that you hold a current license or registration in good standing issued by an equivalent license department, board, or authori.

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