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FORM MISSOURI DEPARTMENT OF REVENUE DIVISION OF MOTOR VEHICLE AND DRIVERS LICENSING REQUEST FROM RECORD HOLDER 4681 Print Reset (REV. 4-04) I hereby certify that my name is. (First Name) (Middle Initial)
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How to Fill Out Missouri Request for Record:

01
Start by downloading the Missouri Request for Record form from the Missouri Department of Health and Senior Services website or by visiting your local Vital Records office.
02
Provide your personal information, including your full name, date of birth, and social security number.
03
Specify the type of record you are requesting, such as a birth certificate, death certificate, or marriage license.
04
Indicate the purpose for requesting the record and provide any necessary supporting documentation, such as a passport or driver's license.
05
Include the full name and any known details of the person whose record you are requesting, such as their date of birth or date of death.
06
If applicable, provide the date and location of the event (birth, death, or marriage) for which you are requesting the record.
07
Include your contact information, including your address, phone number, and email address.
08
Sign and date the form.
09
Submit the completed form along with any required fees or supporting documents to the appropriate address or in person at the Vital Records office.

Who needs Missouri Request for Record:

01
Individuals who need to obtain a copy of their own Missouri birth certificate, death certificate, or marriage license for various purposes, such as applying for government benefits, obtaining a driver's license, or updating identification documents.
02
Relatives or legal representatives who need to obtain a copy of someone else's Missouri birth certificate, death certificate, or marriage license for legal or personal reasons.
03
Researchers or genealogists who require access to Missouri vital records for historical or genealogical purposes.
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Missouri request from record is a form that allows individuals to request a copy of their criminal record in the state of Missouri.
Any individual who wishes to obtain a copy of their criminal record in Missouri is required to file a request form.
To fill out a Missouri request form for a record, individuals must provide personal information and details about the record they are requesting.
The purpose of a Missouri request form for a record is to allow individuals to obtain a copy of their criminal record for personal or legal purposes.
The information required on a Missouri request form for a record includes the individual's name, date of birth, social security number, and any other identifying information.
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