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For further assistance, call us at 1-919-715-7000. For DMV questions, call us at 919-715-7000. Our mailing address is 3101 Mail Service Center, Raleigh NC 27699-3101.

Driver License Forms

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Driving Logs

Form Number	Form Name
DL-4A	Driving Log to Advance to N.C. Level 2 Driver License
DL-4B	Driving Log to Advance to N.C. Level 3 Driver License

Driving Records

Form Number	Form Name
DL-101	Affidavit for Name Change
DL-DPPA-1	Request Official Driver Record
DL-DPPA-1A	Request Official Driver Record (Continuation Sheet)
DL-DPPA-2	Release of Driver Record
DL-DPPA-2	Release of Driver Record (Spanish)

Hearing Impaired

Form Number	Form Name
NA	Hearing Loss Determination Form

Medical Evaluation Program

Form Number	Form Name
DL-22	Authority to Release Confidential Medical Report & Release of Claim
DL77	Vision Report
DL77-BT	Bioptic Driver Form
DL-79	Removal Request
NA	Application Form for Tinted Window Waiver
NA	Commercial Driver License Diabetes Waiver (Packet)
NA	Commercial Driver License Diabetes Waiver Interim Assessment Form
NA	Commercial Driver License Limb Waiver (Packet)
NA	Commercial Driver License Vision Waiver (Packet)
NA	Commercial Driver License Waiver Requirements (Packet)
NA	Medical Evaluation Request for Driver Re‐Examination
NA	Medical Report Form
NA	Occupational Therapist Evaluators

8/3/2018 3:50 PM