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Fillable Printable Public Record Request

Fillable Printable Public Record Request

Public Record Request

Public Record Request

Public Record Request
Use this form to request business/professional, driver, or other Department
of Licensing public records. For a complete list of public disclosure forms,
go to www.dol.wa.gov/forms/formspd.html.
Email (quickest)
PublicRecords@dol.wa.gov
Print and scan or upgrade to Adobe Reader XI
or above)
Mail
Public Records Officer
Department of Licensing
PO Box 2957
Olympia, WA 98507
Your information
PRINT or TYPEYour name Business or Agency/Jurisdiction name, if applicable
Mailing address
City State ZIP code
(Area code) Telephone number Email Return records to me by (choose one)
Email U.S. mail
Records requested
Check all that apply
Driver Business/Professional Other
License number(s)
Complaint/Case number(s)
List the specific record(s) you are requesting
How will you use the records? (Required if requesting lists of individuals or records from driver files other than your own.)
Agreement to protect lists of individuals from use for a commercial purpose and contact
Except as provided for in RCW 42.56.070, I hereby agree that the list of individuals provided to me by the Department of
Licensing will not be used for commercial purposes or to contact individuals on the list.
By signing or typing your name, you declare under penalty of perjury under the laws of the state of Washington that the
foregoing is true and correct.
Date and place signed Signature
RCW 42.56; 42.56.120
WAC 308-10-040
DOL-200-025 (R/8/16)WA
X
PLEASE NOTE
Do not use this form to request
your own driver record or vehicle
or vessel/boat records. Use the
following links for these requests:
Vehicle Record Request
Boat Record Request
Address from Driving Record
Your Driver Record Request
Click here to START or CLEAR, then hit the TAB button
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