Article Guide
The Missouri 4681 form plays a crucial role in managing the release of driver license records and other personal information held by the state. Individuals seeking access to their records must complete this form, ensuring it is signed and notarized; otherwise, their request may be denied. The form requires essential personal details, such as the individual's name, address, date of birth, and driver license number. It also distinguishes between personal information—like social security numbers and photographs—and non-personal information, which may include driving history and zip codes. For those looking for a more efficient way to obtain non-restricted driver record information, options are available online through the Missouri Department of Revenue's website or at local license offices. The form outlines various payment options and provides instructions for submitting requests via mail, fax, or email. Additionally, it includes a section for notarization, ensuring that the request is verified and legitimate. Understanding the Missouri 4681 form is essential for anyone needing to access their driving records or related documents.
Missouri 4681 Preview
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
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 |
|||
|
|
|
|
|
|
|
|
|
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)
r
Name |
Agency Name (If Applicable) |
Fax Number |
(___ ___ ___)___ ___
Address |
City |
State |
Zip Code |
|
|
|
|
Records can be obtained by
Cash |
Check |
Money |
Debit |
Discover |
Visa |
American |
Mastercard |
|
Order |
Card |
Express |
||||||
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
Central Office Visit
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 |
|
|
|
|
|
|
|
|
State |
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 |
Form 4681 (Revised |
||||||||||||||||||
|
DL Record Center |
Visit |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
P.O. Box 2167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Jefferson City, MO |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Phone: |
(573) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fax: |
(573) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Common PDF Templates
What Is Full-time in Missouri - The form requires specific details about the date of change and the date wages were last paid.
The Texas Motor Vehicle Bill of Sale form is a legal document that facilitates the transfer of ownership of a vehicle from a seller to a buyer. This form captures essential details about the transaction, including the vehicle's identification and sale price. Understanding its significance helps ensure a smooth transfer process and protects both parties involved, which can be further explored at https://topformsonline.com/texas-motor-vehicle-bill-of-sale/.
Dmh 69 Missouri - It serves to document the effectiveness of existing mental health programs.
Dos and Don'ts
When filling out the Missouri 4681 form, it is essential to follow certain guidelines to ensure a smooth process. Here are six things you should and shouldn't do:
- Do ensure that all personal information is accurate and complete.
- Do sign and date the form before submission.
- Do notarize the form as required; without notarization, your request will be denied.
- Do specify the method of receiving the records if it differs from the record holder’s address.
- Don't forget to include payment; the fee is $2.82 per record.
- Don't submit the form without reviewing it for any errors or omissions.
Key takeaways
When filling out and using the Missouri 4681 form, keep these key points in mind:
- Approval Required: The record holder must approve the release of their driver license records. Without their signature and notarization, your request will be denied.
- Personal Information: Be aware that personal information includes sensitive details such as the individual's name, address, and social security number. Handle this information with care.
- Multiple Submission Options: You can obtain records through walk-in, mail-in, or email requests. Choose the method that is most convenient for you.
- Fees Apply: A fee of $2.82 per record is required. Additional convenience fees may apply for credit or debit card transactions, so plan accordingly.
Completing this form accurately and understanding its requirements can help ensure a smooth process in obtaining driver license records.
Misconceptions
- Misconception 1: The Missouri 4681 form can be submitted without notarization.
- Misconception 2: Anyone can request driver license records.
- Misconception 3: There is no fee for obtaining driver license records.
- Misconception 4: Records can only be obtained in person.
- Misconception 5: The form is only for personal driver records.
- Misconception 6: All personal information is available without restrictions.
In fact, the form must be signed and notarized. Without this step, the request will be denied.
Only the record holder can approve the release of their personal information. This is to protect privacy.
A fee of $2.82 per record is required. Additional charges may apply for convenience fees on card transactions.
Records can be requested through walk-in, mail-in, or e-mail methods, providing flexibility for the requester.
The form can also be used to request clearance letters or temporary driving privileges, among other options.
Only non-personal information, like driving history and zip code, may be shared without the record holder's consent.
Similar forms
The Missouri 4681 form is primarily used for requesting driver license records, but there are several other documents that serve similar purposes in various contexts. Here’s a list of nine documents that share similarities with the Missouri 4681 form:
- California DMV Request for Driver Record (Form INF 1125): Like the Missouri 4681, this form requires the record holder's consent to release personal information related to their driving history.
- Florida Driver License Record Request (Form HSMV 83146): This form also necessitates the signature of the record holder and can be submitted in person or by mail, similar to the process outlined in Missouri.
- California Hold Harmless Agreement: This essential document helps in mitigating liabilities during events or activities by ensuring that one party is protected from lawsuits, making it vital for various scenarios; you can find more at smarttemplates.net/.
- Texas Request for Driver Record (Form DR-1): In Texas, this form allows individuals to request their driving records, requiring identification and payment, mirroring the fee structure of the Missouri 4681.
- New York DMV Request for Driving Record (Form MV-15): This form is used to obtain a driving record and also mandates the record holder's authorization for release, akin to the Missouri requirements.
- Illinois Driver Record Request (Form VR-350): Similar to the Missouri 4681, this form requires personal information and a signature from the record holder to process the request.
- Ohio BMV Driver Record Request (Form BMV 1173): This document allows individuals to obtain their driving records with the necessary consent, reflecting the same principles as the Missouri form.
- Pennsylvania Request for Driver Information (Form DL-503): In Pennsylvania, this form facilitates the request for driving records, requiring the record holder's signature, similar to the Missouri process.
- Virginia Driver Record Request (Form DMV 101): This form is used to request a driving record in Virginia and requires the record holder’s consent, paralleling the Missouri 4681.
- Michigan Driver Record Request (Form BDVR-153): This form allows individuals to request their driving records and requires the record holder’s authorization, much like the Missouri 4681.
Each of these documents shares a common goal: to ensure that personal driving information is released only with the appropriate consent, maintaining privacy and security for individuals. Understanding these similarities can help in navigating the process of obtaining driving records across different states.