Thank you for submitting your information.
If you and/or your qualified dependent hold a drivers’ license from Pennsylvania, New Hampshire, Washington, Guam or Puerto Rico these states/territory require an additional form to be completed prior to processing information requests. The state/territory form and instructions for that form (including where the forms should be sent) can be found below; please click on and print the appropriate state/territory form, the corresponding state/territory form instructions, and complete the form per the instructions. If you and/or your qualified dependent do not hold a drivers’ license from one of these states/territory, there is nothing further you need to do; you have completed the process.
Thank you for your assistance.
**Please Note: The State of Pennsylvania requires the qualified dependent to submit a different form than the driver.**
If you are the driver, click on the driver form below for the State of Pennsylvania form.
If you are the qualified dependent, click on the qualified dependent form below for the State of Pennsylvania form.
PDF: Pennsylvania MVR Procedures and Form for driver
PDF: Pennsylvania MVR Procedures and Form for qualified dependent
Driver and/or qualified dependent can use the same state form listed below. Driver and/or qualified dependent, click on the appropriate state /territory form listed below.
PDF: New Hampshire MVR Procedures and Form for driver and/or qualified dependent
PDF: Washington MVR Procedures and Form for driver and/or qualified dependent
PDF: Guam MVR Procedures and Form for driver and/or qualified dependent