| AUTHORIZATION | ||||||||
| I authorize Eastern Oregon University to receive a copy of my driving record from the Motor Vehicle Department. | ||||||||
| Name (as it appears on your driver's license).PLEASE PRINT. | ||||||||
| Birthdate:Mo-Day-Yr: | ||||||||
| Driver License Number and State of Issue: | ||||||||
| Signature: | ||||||||
| Person/Dept. Requesting Record: | ||||||||
| Account Number to be charged: | ||||||||
| Send to the Physical Plant. | ||||||||
| **It takes at least 10 working days to get records from Oregon's DMV.Other | ||||||||
| states often take as long as six to eight weeks. | ||||||||