West Palm Beach Florida car accident information request from the Florida department of motor vehicles

(Insert date)
Registrar of Motor Vehicles
(Insert address)

Dear Sir:

I have retained the law firm of (insert name and address of law firm) to represent me in legal proceedings to which I am a party. I hereby authorize the firm to request and secure all records relating to my driving history, including motor vehicle citations, license restrictions, accumulated points, assessments or fines.

A photocopy of this authorization shall have the same force and effect as the original.

Sincerely,

__________________________________
(Signature of Client)

__________________________________
__________________________________
__________________________________
(Insert Name and Address of Client)

Subscribed and sworn to before me this day of , 20 .

__________________________________
Notary Public