Fillable Driver Services Department (Administrative Office of the Illinois Courts)

Fill Online, Printable, Fillable, Blank Driver Services Department (Administrative Office of the Illinois Courts) Form

Use Fill to complete blank online ADMINISTRATIVE OFFICE OF THE ILLINOIS COURTS (IL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Driver Services Department (Administrative Office of the Illinois Courts)

On average this form takes 10 minutes to complete

The Driver Services Department (Administrative Office of the Illinois Courts) form is 1 page long and contains:

  • 0 signatures
  • 4 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Administrative Office of the Illinois Courts

BROWSE ADMINISTRATIVE OFFICE OF THE ILLINOIS COURTS (IL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
   
DRIVER SERVICES — FIELD HEADQUARTERS
2701 S. DIRKSEN PKWY.
Office of the Secretary of State
SPRINGFIELD, IL 62723
217-782-7044
Driver Services Department
www.cyberdriveillinois.com
REQUEST TO SUPPRESS PERSONAL INFORMATION
In accordance with the Judicial Privacy Act, upon request of a judicial officer, the Secretary of State is restricted from publicly disclosing
any personal information from any records maintained by the Office relating to any judicial officer, spouse, child, parent or any blood rela-
tive who resides in the same residence as the judicial officer. “Personal information” is defined as home address, home or mobile telephone
numbers, personal email addresses, Social Security number, financial account information, marital status and the identity of children under
age 18. The information listed below is exempt from any Freedom of Information Act request.
Judicial Officer Name: _____________________________________ DL/ID Card#: _________________________________________
Judicial Title: ____________________________________Are you a Notary? : q YES q NO
I. Judicial Officer Address Change:
I request to change the residence or mailing address on the following records to a business address:
q License Plate Registration (Please specify in II.B) q Driver’s License/I.D. Card
Business Address: ____________________________________________________________________________________________
Street City State ZIP
County: ________________________________
Current Address: ____________________________________________________________________________________________
Street City State ZIP
II. Suppression of Personal Information:
I request to suppress personal information from the following records (include name of judicial officer and family members residing
with the judicial officer):
A. Driver’s License/ID Card:
Name Driver’s License/ID Card Number Date of Birth Gender
B. Vehicle Registration Information (List all applicable vehicles to suppress):
License Plate Number Vehicle Identification Number Vehicle Year & Make
NOTE: If any individual listed on this form no longer resides with the judicial officer or the judicial officer changes his/her
residence address, a new request form must be completed.
Identification Presented:
________________________________________________________________
Signature of Judicial Officer: _________________________________________ Date:____________________________
Disclaimer: This request only applies to Secretary of State information. Please consult the Administrative Office of the
Illinois Courts at 217-782-7770 to suppress information held by other entities.
Secretary of State Facility Name and Number: ___________________________________________________________
Date Received/Faxed by Secretary of State: _____________________________________________________________
Fax Numbers: Driver Services: 217-558-5156 Vehicles Services: 217-785-4727 Index Department: 217-524-0930
Printed by authority of the State of Illinois. September 2012 — 1 — DSD A 275
Print
Reset
Save
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Driver Services Department (Administrative Office of the Illinois Courts)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document