DVS Form Customer Service Questions

Out of State Packet Request / Snowbird Packet Request

To better assist us with your question, please complete the following information:

Customer Information

First Name*

Last Name*

Middle Name/Initial*

Date of Birth*( mm/dd/yyyy format )

E-mail Address*

Daytime Phone Number*

Out of State Mail Address

Street Address*

Address Line 2( Apt, Suite, Unit, etc. )

City*

State*

Zip Code*

Application Information

DL/ID Number or Letter ID

DL/ID Card Type*

Additional Information