What Do You Need Help With
Short description of your issue
9 digit number including leading zeros
Last 5 digits of the DD number (located on the front of your card)
Full Legal Name as it Appears on Driver License
Phone Number You Would Like Us to Call When Your Test is Scheduled
State that Issued Driver License
which location did you visit?
i.e. mm/dd/yyyy with slashes only. example 01/02/1977
Last 4 Digits of Your Social Security Number
Current Street Address
City
State
Zip Code
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