Notice of Surrender - Washington Department of Licensing

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Notice of Surrender. You can use this form to surrender your Washington state or out-of-state driver license, ID, and/or endorsement(s). TYPE or PRINT Name ...
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Notice of Surrender

You can use this form to surrender your Washington state or out-of-state driver license, ID, and/or endorsement(s). TYPE or PRINT Name (Last, First, Middle)

Date of birth

This is to acknowledge that the surrender of my license is:  voluntary  mandatory Washington state License /ID number I am surrendering my:

  Driver license/ID   Enhanced driver license/ID   Motorcycle endorsement   Temporary driver license Out-of-state State

License /ID number

I am surrendering my:

  Driver license/ID   Motorcycle endorsement   Temporary driver license I understand that in order to be relicensed or regain a surrendered endorsement, I must meet the requirements of Chapter 46.20 RCW, including payment of all appropriate fee(s) and qualification of all required examinations.



X

When you have completed this form, please print it out and sign here.

Date Signature

For department use only Comments

LSR

RCW 46.20

DLE-520-011 (R/8/12)WAE

 Station