The Missouri 4681 form is a pivotal document for individuals needing to approve the release of their driver license records or other documents containing their personal information. This form must be meticulously completed, signed, and notarized; otherwise, the request for such records will be declined. To make accessing non-restricted Missouri driver record information more convenient, individuals can visit the official website or a local license office.
For an easy way to access your driver license record, click the button below to get started on your Form 4681.
The Missouri 4681 form serves as a crucial vehicle for individuals seeking access to their driver license records or documents containing personal details. Ensuring the protection of personal information is paramount, and this document facilitates the lawful release of such data, demanding completion, signature, and notarization as prerequisites for processing. The form delineates between personal and non-personal information, with the former comprising sensitive data including but not limited to the individual's name, social security number, and photograph. In contrast, non-personal information might include driving history and zip code. Additionally, the form outlines various options for receiving the requested records, including mail, fax, or e-mail, alongside a detailed listing of associated fees and methods of payment. The Missouri Department of Revenue also accommodates electronic requests for convenience, highlighting its commitment to accessibility and efficiency in managing personal driver license records. Through specifying requirements like notarization and setting forth a structured process for request submission, the form underscores the significance of privacy and security in handling personal records while ensuring compliance with state regulations.
Form
4681
Request From Driver License Record Holder
Record holders must approve the release of driver license records or other documents containing personal information. To request such records this form must be completed, signed and notarized or the request will be denied. For a faster and more convenient way to obtain a copy of non-restricted Missouri driver record information visit mydmv.mo.gov/ and select Driver License Services, or visit a local license office. Personal information includes the person’s name, address, date of birth, sex, height, weight, eye color, driver license number, social security number, photograph, and telephone number. Non-Personal information may include the person’s first and last name, driving history, and zip code.
Holder’sRecord Information
First Name
Middle Initial
Last Name
Date of Birth (MM/DD/YYYY)
Missouri Driver License or Social Security Number
Daytime Telephone Number
___ ___ / ___ ___ / ___ ___ ___ ___
(___ ___ ___)___ ___ ___-___ ___ ___ ___
Mailing Address
City
State
Zip Code
E-Mail Address
Driver License
Records
Mailing & Fax
Information
Payment Options and Signature
Notary Information
r Driver Record
r Clearance Letter (No Fee Required)
r Image Portfolio (Black and White Photo)
r Temporary Driving Privilege (No Fee Required)
rOther (Specify) _____________________________________________________________________________________
Would you like the requested records to be sent somewhere other than to the record holder’s address? r Yes r No
If yes, how would you like it to be sent? r Mail (provide alternate mailing address) r Fax (add $0.50 per page faxed; provide fax number)
rE-mail ______________________________________
Name
Agency Name (If Applicable)
Fax Number
Address
Records can be obtained by walk-in, mail-in, or e-mail request. The fee is $2.82 per record. A convenience fee will be charged for credit or debit card transactions. The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds. You may visit us at Central Office, Harry S Truman Building, Room 470, 301 West High Street, Jefferson City, Missouri.
Cash
Check
Money
Debit
Discover
Visa
American
Mastercard
Order
Card
Express
Central Office Visit
Mail
Fax
If you are paying by credit or debit card you must provide the following:
Name (as it appears on card)
Card Number
Expiration Date
__ __ / __ __
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I authorize the Department of Revenue to send the requested record where I designated above.
Record Holder’s Signature
Date (MM/DD/YYYY)
Embosser or black ink rubber stamp seal
Subscribed and sworn before me, this
day of
year
County (or City of St. Louis)
My Commission Expires (MM/DD/YYYY)
___ ___ /___ ___ /___ ___ ___ ___
Notary Public Signature
Notary Public Name (Typed or Printed)
Mail to:
Driver License Bureau
E-mail: dlrecords@dor.mo.gov
Form 4681 (Revised 09-2022)
DL Record Center
Visit dor.mo.gov/driver-license/ for additional information.
P.O. Box 2167
Jefferson City, MO 65105-2167
Phone:
(573) 526-2407
Fax:
(573) 526-7367
Filling out the Missouri 4681 form is the first step you need to take if you're looking to obtain a copy of your driver license records, among other things. This document requires your careful attention to ensure that all your personal and payment information is accurately recorded. Here's a straightforward, step-by-step guide to help you complete this form:
Remember, accurately filling out and submitting this form is crucial for the smooth processing of your request. Once submitted, the Missouri Department of Revenue will take over the process, and you can expect to receive the requested information as per the delivery method you selected. Keep a copy of the completed form and any confirmation or receipt numbers for your records.
The Missouri Form 4681, titled Request From Driver License Record Holder, is a document designed for individuals seeking to obtain copies of their driver license records or other documents containing their personal information from the Missouri Department of Revenue. Those who need to access their driving records, need proof of their driving history for employment, or require documentation containing personal details for official purposes should complete and submit this form. Completing the form requires the record holder's personal information, a signature, and notarization, ensuring the requestor's identity is safeguarded and verified.
Submitting the Missouri Form 4681 can be done through various channels, offering flexibility to applicants:
The cost for obtaining a record is $2.82 per record. However, additional fees apply for certain methods of payment and delivery. Credit or debit card transactions incur a convenience fee ranging from $1.25 to 2.15% of the transaction amount, depending on the value of request. For faxed documents, an extra $0.50 per page is added for faxing services.
To successfully complete Missouri Form 4681, several pieces of personal information are required from the requestor:
This detailed information ensures the accuracy of the request and protects the privacy of the individual by restricting access to personal records.
Yes, Missouri Form 4681 accommodates requests for records to be sent to an alternative address or by another delivery method other than to the record holder's residential address. Applicants can indicate their preference on the form by selecting the option to have the requested records sent to a different location and specifying the delivery method. Available choices include:
These options offer flexibility to individuals in how they receive their requested records, catering to different needs and situations.
Completing the Missouri 4681 form accurately is crucial for individuals seeking access to their driver license records or other documents containing personal information. Here are common mistakes that individuals often make when filling out this form:
Not obtaining notarization: The form requires notarization to process the request. Failing to have the form notarized results in the denial of the request.
Incomplete personal information: The form asks for detailed personal information, including the record holder's name, address, date of birth, and driver license or social security number. Leaving any of these fields incomplete can delay or prevent processing.
Incorrect driver license or social security number: Entering an incorrect driver license or social security number leads to a mismatch in records, resulting in processing delays or denial.
Omitting payment details: The form requires information on the payment method for the record request. Neglecting to provide complete payment information, including card details if paying by credit or debit card, can halt the request.
Forgetting to specify the type of record needed: The form allows individuals to request different types of records. Not clearly specifying the desired record type can lead to receiving the wrong information.
Choosing an incorrect delivery method: Individuals must indicate if they wish the records to be sent to an address different from the one provided or through a different delivery method (mail, fax, email). Failure to accurately specify this can cause the records to be sent incorrectly.
Failure to sign the form: An unsigned form is considered incomplete and will not be processed. It is essential to sign the form before submission.
Leaving the notary information blank: If the notary information is incomplete, it can invalidate the form. This section must be filled out by a certified notary.
Error in choosing the convenience fee based on the payment method: Incorrectly calculating the convenience fee for the chosen payment method or record request amount can cause discrepancies, leading to delays.
By paying close attention to the completion of each section of the form, individuals can avoid these common mistakes. Ensuring all personal and payment information is accurately provided will facilitate a smoother request process.
When dealing with the Missouri 4681 form, utilized for the request of driver license records, there are several key documents and forms that frequently accompany it. These are essential for various purposes including legal, personal identification, and record-keeping requirements. Understanding each document's function and how it compledomains with the Form 4681 can significantly streamline the process.
Understanding and compiling the relevant documents to accompany the Missouri 4681 form is imperative for a successful request. Each document serves its unique purpose, from establishing the identity of the requester to authorizing the release of information. Ensuring completeness and accuracy in this documentation can significantly ease the process, aiding in the efficient and timely retrieval of desired records.
The Missouri 4681 form, designed for individuals to request their driver license records or other documents containing their personal information, has similarities with other significant documents in terms of purpose, structure, and confidentiality requirements. The two documents that closely align with the Missouri 4681 form in various aspects include the National Driver Register (NDR) Record Check form and the Personal Information Request form under the Freedom of Information Act (FOIA). Both these forms share the fundamental objective of providing access to personal information while ensuring the protection of privacy.
The National Driver Register (NDR) Record Check form is utilized to search for individuals' driving records across states, focusing on identifying problematic drivers. Like the Missouri 4681 form, the NDR Record Check form requires the requestor to provide detailed personal information, including the driver license number, name, and date of birth, to access their driving status and history. These similarities highlight the emphasis on individual privacy and the need for explicit consent and appropriate identification to access sensitive information. Furthermore, both require the information to be accessed only by authorized individuals, thereby protecting the individuals' data from unauthorized access.
The Personal Information Request form under the Freedom of Information Act (FOIA) allows individuals to access records controlled by the federal government. This form shares a key similarity with the Missouri 4681 form in that it requires the requester to provide specific personal details to access information. Additionally, both forms are subject to stringent verification processes to ensure that the requester has a right to access the information, which includes signing the request and, in some instances, notarization. While the FOIA request form has a broader scope, covering a wide range of information beyond driving records, the core idea of accessing personal information with adequate verification and privacy safeguards connects these two documents closely.
When completing the Missouri 4681 form to request your driver license records, there are several guidelines you should follow to ensure the process goes smoothly. Here are the essential dos and don'ts to keep in mind:
Following these guidelines will help ensure your form is filled out correctly and your request is processed without unnecessary delays.
When discussing the Missouri 4681 form, several misconceptions can cloud the understanding of its purpose and process. Clearing up these misconceptions is essential for anyone needing to request their driver license records or other documents containing personal information in Missouri.
Understanding these key points about the Missouri 4681 form can simplify the process for individuals seeking to request their driving records or other personal document information, ensuring that their needs are met efficiently and correctly.
Understanding the 4681 form in Missouri is critical for anyone needing to request their driver license records. Here are some key takeaways to navigate this process smoothly:
By familiarizing yourself with these aspects, you can streamline the process of requesting your Missouri driver license records using the 4681 form. Always ensure your information is accurate and complete to avoid any delays or denials in your request.
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