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REQUEST FOR INFORMATION - oregon.gov

ODL:DOB: Name:Address:City:State:Zip Code:735-7122 2 6)(Continued on next )STK# 300063 SECTION B. - I AM REQUESTING (For multiple inquires attach a separate sheet of paper with the below INFORMATION listed.)INSTRUCTIONS:DEPARTMENT OF TRANSPORTATIONDRIVER AND MOTOR VEHICLE SERVICES1905 LANA AVE NE, SALEM oregon 97314 DMVREQUEST FOR INFORMATIONU nder oregon law, only certain requestors qualify to receive personal INFORMATION from DMV recordsand these requestors can only use the INFORMATION for specific purposes outlined in oregon s RecordPrivacy Law (ORS ). If INFORMATION is protected, it will not be released unless arequestor qualifies to receive the INFORMATION .

For more information see our website at: www.oregondmv.com or send an email to: dmvrequestforinfo@odot.state.or.us Send the completed form with requestor’s

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