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Request for Re-Examination - dmvnv.com

Central Services Division License Review 555 Wright Way Carson City, NV 89711. Reno/Sparks/Carson City (775) 684-4 DMV (4368). Las Vegas Area (702) 486-4 DMV (4368). Rural Nevada or Outside Nevada (877) 368-7828. Fax: (775) 684-4829. Request for Re-Examination Agency/Individual Requesting Re-Examination (please check one): Law Enforcement, Badge # _____ State Agency Other Please specify the law enforcement agency, state agency or other facility completing this Request : _____. I believe the following driver should be re-examined: NAME. ADDRESS. SSN. DOB. DRIVER'S LICENSE NUMBER. This driver's difficulties were brought to my attention because: The driver was involved in an accident.

DLD23 (Rev. 7-2006) Central Services Division License Review 555 Wright Way Carson City, NV 89711 Reno/Sparks/Carson City (775) 684-4DMV (4368) Las Vegas Area (702) 486-4DMV (4368)

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