West Palm Beach Car Accident Client's Driving Record call 1-800-74-TRIALfor help today!
TO: [Secretary of State or Motor Vehicle Division]
DATE: __________
You are hereby authorized to furnish and release to my attorney(s) [name and address of firm or specific attorney] any information requested regarding my driving record.
My attorney requests the following information:
1. [Insert particular request such as: complete
2. driving record, 48 hour accident report, or record
3. of traffic infractions.]
4.
__[Signature of client]___
____[Name of client]_ __
_____[Date of birth]______
___[Social Security no.]__
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Call 1-800-74-TRIAL
Call 1-800-74-TRIAL
