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Get And Sign Dps 67 C Form

Number/Eligibility Certificate Number: (required) Expiration Date: Police Identification Number: Agency Name: Motor Vehicle Operator’s License Number: (required) State: Expiration Date: (MM/DD/YYYY) a. Have you been convicted of a felony? Yes No b. Have you ever been convicted of a misdemeanor crime of domestic/family violence? Yes No c. Are you the subject of an active restraining or protective order issued by a court, after notice and an opportunity to be heard has been provided...

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  4. Utilize the Circle icon for other Yes/No questions.
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