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Michigan Department of State - Record Lookup Request …

Michigan Department OF State Record Lookup Request INSTRUCTIONS FOR COMPLETING THIS form General Information Lookups of driving, personal identification and vehicle records are available for $ for each Record Lookup . Certifi cations cost an additional $ per Record . If no Record is found, you are still responsible for paying t he Lookup fee(s). Fill out a s much information about your Request a s yo u can. Accurate and complete informati on will help us lo cate the Record (s) you want. Please include a daytime telephone number in case we have questions about your Request . All requestors must s elect at least one of the permissible purposes in Section 7 if personal information contained in the Record is need- ed. Personal information will be redacted (not revealed) if the requestor has not designated a permissible purpose. Section 1 Please complete all sections that comply with your Request for information.

MICHIGAN DEPARTMENT OF STATE RECORD LOOKUP REQUEST INSTRUCTIONS FOR COMPLETING THIS FORM General Information Lookups of driving, persona l identification and vehicle records are available for $11.00 for each record lookup.

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