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Secure Order Form

This form is for individuals who wish to order a copy of their Driving Record

If you prefer to order your record by phone please call 770-386-4453

  • Many of us have errors on our driving record that will drive up our insurance rates.
  • It is possible that you may have innocently paid a traffic ticket, but they never removed the ticket from your driving record!
  • We offer Consumers and Businesses the ability to order their Motor Vehicle Driving Records Online for only $24.95.
  • Most states can get their reports within 2-3 days!
  • This new service is intended to help you make informed and wise decisions that can save you thousands of dollars depending on the circumstance

    • If you are shopping for insurance, it is essential to know what is on your driving record for the sake of obtaining accurate insurance quotes. This form is secure for your safety. 
        Your personal information is kept strictly confidential and is not shared with third parties. Privacy Policy

    License Information

    First Name:
    Middle Name: (only if it appears on your license)
    Last Name:
    Suffix: (only if it appears on your license)
    Address 1:
    Address 2:
    City:
    State:
    Zip Code:
    Phone: -- (555-555-5555)
    E-mail:
    Drivers Lic.#:
    Date of Birth: // (01/28/1974)
    Delivery Method for your Records:
    Mailing Address
    Check here if same as above.
    Address1:
    Address2:
    City:
    State:
    Zip Code:
    Billing Information
    Credit Card:
    Card Number:
    Exp: (MM/YY)
    Note: The last name on the credit card must be the same as the name on your drivers license.
    First Name:
    Middle Name: (only if it appears on your credit card)
    Last Name: (This field is read from the Drivers Last Name)
    Suffix: (only if it appears on your credit card)
    Legal Agreement
     
    By submitting an information request to 4SafeDrivers.com, you certify, under penalty of perjury, that all information provided by you in this request shall be true and accurate to the best of your knowledge and ability.

    By submitting this request, you certify that you have read, understood and agree to the above legally binding agreement.

    PLEASE VERIFY ALL OF THE INFORMATION PROVIDED ABOVE, ESPECIALLY THE DRIVER LICENSE NUMBER. FAILURE TO PROVIDE A CORRECT DRIVERS LICENSE NUMBER WILL RESULT IN AN UNSUCCESSFUL SEARCH FOR YOUR DRIVING RECORD, AND YOUR CREDIT CARD WILL STILL BE CHARGED. ALL ORDERS ARE DISPATCHED TO THEIR RESPECTIVE STATE DMV RESEARCHERS IMMEDIATELY. NO CANCELLATIONS OR CHANGES CAN BE MADE AFTER YOU SUBMIT YOUR ORDER.

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