Record Request

To have your driver record request certified, please submit the proper form to If you are a government agency, submit Form 4170, Certified Driver Record Request for Government Agencies. If you are a business, submit Form 1745, Request for Information. If you are an individual requesting your own record, submit Form 4681, Request from Driver License Record Holder.

Requestor Information

Mailing Address

Record Requests

Last Name Date of Birth Driver License Number Social Security Number Model

Subject Information