Transcription of Restricted Driver License Application - Wa
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Restricted Driver License Application - Wa
RESL RESA XFor validation only 106-040-254-0005 Restricted License fee _____Date received _____LSR initials _____Office no. _____ Restricted Driver License ApplicationUse this form to apply for a temporary Restricted Driver License if your driving privilege in Washington is currently suspended or revoked. To apply, take this completed Application and a $100 nonrefundable Application fee to any Driver licensing office or mail your Application with a check or money order payable to the Department of Licensing to: Restricted LicensingDepartment of LicensingPO Box 3907 Seattle, WA 98124-3907 PRINT or TYPE Name (Last, First, Middle initial) Driver License number State/JurisdictionDate of birth (Area code) Daytime pho
Restricted Driver License Application Use this form to apply for a temporary restricted driver license if your . driving privilege in Washington is currently suspended or revoked. ... If your employment requires you to drive a vehicle during working hours that is owned, leased, rented, or the temporary responsibility of your employer, it may be ...
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