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Division of Motor Vehicle and Drivers Licensing - Request for Mail Order Forms

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*Name of Firm or Organization Requesting Forms
*Shipping Address (Line One)
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*Zip or Postal Code
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*E-Mail Address

Form Name	Quantity
Abandoned Property Affidavit (DOR-4576)
Abandoned Property Bill of Sale (DOR-4579)
Affidavit of Repossession/Mechanic Lien (DOR-1062)
Alcohol Influence Report (DOR-2389)
Application for Disabled Person Placard (DOR-2769)
Application for License Only (DOR-184)
Application for Military CDL Skills Test Waiver (DOR-5140)
Application/Affidavit for Missouri Repossession Title (DOR-5005)
Application for Replacement Plates or Tabs (DOR-1576)
Application for Title and License (DOR-108) Limit 200 Per Order - Can be obtained at www.madastore.com, fax requests to 573-634-7033, or e-mail requests to forms@mada.com. Include your name, street address, city, state, zip code and telephone number. Applications will NOT be faxed.
Application for Watercraft Title Registration (DOR-93) Limit 500 Per Order
Bill of Sale/Even-Trade Bill of Sale (DOR-1957)
Certificate of Liability Insurance (DOR-1939)
County Collector's Suspension Notification (DOR-4899)
Crime Inquiry & Inspection Report (DOR-4569)
Date of Sale Verification (DOR-4205)
Dealer Complaint Form (DOR-4683)
Driver Condition Report (DOR-4319) (form)
Failure to Appear or Pay Traffic Violation, FACT (DOR-4558)
General Affidavit (DOR-768)
Historic or Personalized Historic License Plates (DOR-570)
How to Report an Unsafe Driver (DOR-4319a) (brochure)
Lieu of Bail (DOR-1454A)
Mail-In License Application (DOR-4317) (for out-of-state renewals only)
Military Application with Power of Attorney (DOR-4318)
Missouri Commercial Driver License Manual
Missouri Driver Guide
Missouri's Graduated Driver License Law (DOR-4821 (brochure)
Motorcycle Operator Manual
Motor Carrier's Insurance Self Certification (DOR-4715)
Motor Vehicle Accident Report (DOR-1140)
Nonresident Violator Compact (DOR-2283)
Notice of Lien or Lien Release (DOR-4809) Limit 100 Per Order File Notice of Lien Online
Notice of Suspension/Revocation of Your Driving Privilege (DOR-2385)
Odometer Statement of Explanation (DOR-1545)
Parental/Guardian Request to Deny or Reinstate Drivers Licenses (DOR-4811)
Personalized Plate Application (DOR-1716)
Physician Reporting of Impaired Drivers (DOR-4319p) (brochure)
Physician's Statement (DOR-1528 (form)
Physicians Statement for Disabled Plates/Placards (DOR-1776)
Point System Violation Description Table (DOR-899)
Power of Attorney (REGULAR) (DOR-4054)
Record of Conviction (DOR-152)
Refund Request Affidavit (DOR-426)
Refusal to Submit to Alcohol/Drug Chemical Test Notice of Revocation (DOR-4323)
Request From Record Holder (DOR-4681)
Request for MV/DL Records (DOR-4678)
Safety Emissions Inspection Exemption (DOR-4258)
Secure Power of Attorney (DOR-5086) - Can be obtained at www.madastore.com, fax requests to 573-634-7033, or e-mail requests to forms@mada.com. Include your name, street address, city, state, zip code and telephone number. Applications will NOT be faxed.
Six-Year Driver/Nondriver License (DOR-4835) (brochure)
Special Permits Application (DOR-1275)
Supply Order (DOR-4316)
Vehicle Owner and Lienholder Notification (DOR-4577)
Other

Missouri Department of Revenue

MV / DL

DOR

Division of Motor Vehicle and Drivers Licensing - Request for Mail Order Forms