Form DLD266M template
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Request for Certified Records by Mail
This document is a request form for accessing records from the Utah Department of Public Safety's Driver License Division. It includes fields for the requester's name, mailing address, daytime telephone number, organization (if any), driver license number, date of request, and email address. The form also requires certification from the requester, stating their relationship to the subject of the records or their authority to access them. Penalties for unauthorized disclosure or use of personal information are mentioned.
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