The Missouri 4681 form is a crucial document for individuals needing to request their driver license records or other personal information as held by the state. Record holders are required to approve the release by completing, signing, and notarizing this form; otherwise, requests will be denied. For those looking for a quicker way to access non-restricted driver record information, options include the official website or visiting a local license office.
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The Missouri 4681 form serves as a crucial document for individuals seeking to access or release their driver license records or other documents containing their personal information. The form is designed to safeguard individuals' privacy by requiring record holders to provide explicit approval before any personal data is shared. This process involves the completion, signing, and notarization of the form, reinforcing the state's commitment to protecting personal information. Moreover, the form provides a pathway for accessing non-restricted Missouri driver record information through a more streamlined online service or in-person requests at local license offices. Detailed within the form are sections for personal and non-personal information, which delineate between more sensitive data such as social security numbers, photographs, and contact details, and less sensitive data that includes driving history and zip code. Additionally, the form outlines various services available to the requester, including obtaining a driver record, clearance letter, image portfolio, and temporary driving privilege, along with specifying methods of delivery for the requested documents. The financial aspect is also addressed, listing the fees associated for record retrieval and the convenience fees for credit or debit card transactions, thereby providing a comprehensive overview of the procedural and financial aspects involved in requesting driver license records in Missouri.
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 an essential step for individuals needing to request their driver license records or documents containing personal information. This process requires attention to detail and accuracy to ensure that your request is processed without delay. Follow the steps below carefully to complete your form properly.
Once your form is submitted, the Missouri Department of Revenue will process your request for the specified records. Keep in mind that processing times may vary, and ensuring your form is accurately completed and notarized can help avoid delays. If you have questions about your request or encounter issues filling out the form, consider reaching out directly to the Driver License Bureau for assistance.
The Missouri 4681 form is a formal request used by individuals to obtain records or documents containing their personal information from their driver license record. It requires the record holder to consent to the release of these records, which can include personal details such as name, address, driver license number, and more. This form must be completed, signed, and notarized for the request to be processed.
For those looking to obtain a copy of their non-restricted Missouri driver record information, there are several convenient options available. Individuals can either:
These methods provide a faster and more convenient way to access driver record information than submitting a request through mail or walk-in.
With the Missouri 4681 form, individuals can request various types of documents, including but not limited to:
When requesting records using the Missouri 4681 form, several payment options are available. These include:
Note that a convenience fee is charged for credit or debit card transactions. The fees for records vary based on the method of ordering (walk-in, mail, fax, or e-mail).
If the requestor wishes for the records to be sent to an address different from that of the record holder's, they must indicate this preference on the Missouri 4681 form. They have the option to choose the records to be sent via:
This flexibility allows for the records to be received by a designated third party, such as an agency or legal representative, if necessary.
When filling out the Missouri 4681 form, which is necessary for requesting driver license records, individuals often overlook or incorrectly handle several key aspects. These mistakes can lead to delays or the denial of the request. Understanding and avoiding these common errors ensures the process goes smoothly and efficiently. Here's a breakdown of seven common mistakes:
By paying close attention to these details, individuals can ensure their Form 4681 is completed accurately, helping to avoid common pitfalls that may obstruct the process of obtaining necessary records.
When dealing with driver license records or related matters in Missouri, utilizing the Form 4681 is a common practice. This form, essential for requesting driver license records, often requires additional documentation to support or expand the request. Understanding these supplementary forms and documents can streamline the process and ensure that all necessary information and approvals are in place for a smooth transaction with the Missouri Department of Revenue.
For individuals and organizations navigating the complexities of Missouri's driving record requests, understanding these forms can be crucial. They each serve an important role in ensuring accurate, legal, and timely processing of requests pertaining to driving records, vehicle registration, titling, and more. Having the correct forms prepared alongside Form 4681 can significantly expedite the process and help avoid delays or issues with the Missouri Department of Revenue.
The Missouri 4681 form is similar to other state and federal forms that require the release of personal information, yet it uniquely focuses on driver's license records. These documents often share commonalities such as the need for the record holder's explicit consent, a notarization process to verify the signature, and options on how the information can be received. However, the specific type of information requested and the intended use of these forms can vary significantly.
Comparable documents include:
Each document, while serving a distinct purpose, underscores the critical nature of consent and security in the process of releasing personal information. Whether for verifying a Social Security number or obtaining driving records, the emphasis on authorization, notarization, and secure delivery methods reflects a shared commitment to protecting individual privacy across various contexts.
When dealing with the Missouri 4681 form, a critical document required for the release of driver license records, it's important to approach the process with careful attention to detail and a clear understanding of the required steps. To ensure the request is processed efficiently and accurately, here is a list of things you should and shouldn't do:
By adhering to these guidelines, individuals can streamline the process of obtaining necessary records through the Missouri 4681 form, ensuring that all interactions with the Missouri Department of Revenue are as smooth and efficient as possible.
Understanding the Missouri Form 4681 can sometimes be a bit tricky due to prevalent misconceptions. Here’s a clarification of some common misunderstandings:
Misconception 1: Form 4681 can only be used to request a copy of your driving record. While it’s true the form is often used for obtaining driver records, it also facilitates the request for other documents, like clearance letters or an image portfolio, encompassing personal information safeguarded by the Department of Revenue.
Misconception 2: Anyone can request your driving records using Form 4681 without your consent. In reality, the form explicitly requires the record holder’s approval, demonstrated through a signature and a notary verification, to release any records. This measure is in place to protect personal information from unauthorized access.
Misconception 3: The form must be mailed in for processing; electronic submissions are not allowed. This is incorrect, as records can indeed be requested via walk-in, mail-in, or e-mail. The form accommodates various modern convenience needs, including the option to receive records by fax or e-mail, highlighting a flexible approach to accessing personal records.
Misconception 4: There is only one way to pay for record requests made with Form 4681. Contrary to this belief, the form outlines multiple payment options, including cash, check, money order, and several types of credit cards, thus ensuring the process is accommodating to the payer’s preferences.
Misconception 5: Personal information is limited to just the individual’s driving history. This is not the case, as the form details that personal information can include a wide array of details such as name, address, date of birth, and even the individual’s photograph, among other identifiers. The distinction between personal and non-personal information highlights the breadth of data considered private and protected.
Clearing up these misconceptions helps in understanding the privileges and rights associated with Form 4681, ensuring that requests for personal records are handled with the appropriate level of consent and security.
Filling out the Missouri 4681 form accurately is crucial for those needing to request their driver license records or documents that contain personal information. Here are five key takeaways to remember when completing and using this form:
It is important to fill out the form attentively and provide accurate information to ensure that the request is processed swiftly and correctly. By understanding these key takeaways, applicants can navigate the process of requesting their Missouri driver license records or personal documents with greater ease and efficiency.
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