DMV DRIVING TEST REQUEST FORM

This form must be filled out completely. All field marked

with a " * " are required fields. DMV Testing at the Togiak

Police Department are held on the 2nd and 4 Wednesday's

of the month. Questions should be directed to Sgt. William

Ferris at bferris@togiakpolice.org or at (907) 493-5212.

*First Name
*Last Name
*Middle Initial
*Street Address
Address (cont.)
*City
*State/Province
Zip/Postal Code
Work Phone
*Home Phone
E-mail

Enter your Social Security Number Below *


Enter your Date of Birth Below *

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