Minnesota Department of Natural Resources Consent to ...
[Pages:1]Minnesota Department of Natural Resources Consent to Release Private Data for Recreational Vehicle
Registration Renewal Electronic Licensing System Private Data
I, _________________________________, give permission for the Deputy Registrar to release the following electronic licensing system (ELS) data strictly for the intended purpose of renewing the registration on:
Check the applicable box:
Boat
Snowmobile
Vehicle Registration # Make
VIN or HULL ID
ATV
Off-road vehicles
Year Model
Off-highway motorcycle
I understand that the following private data about me will be released with ELS records: name, and address. The ELS private data about me may be released to the following individual:
Name/Business (please print):________________________________________________
I understand that I have asked the Deputy Registrar to release private data about me. This informed consent will expire upon release of the data. You must provide a copy of your Driver's License/State Issued Identification Card or your signature must be notarized.
Owners Name (Print First, Middle, Last): ______________________________________________________________________________
Date of Birth:
Owners Signature:
Date:
____________________
_____________________
_____________________________________________________________
Notary Section:
State of
_________________________________________
County of
_________________________________________
Subscribed and sworn to before me this
_________ day of _________________
20 _____________
My Commission expires _____________ Signature of ____________________________ Notary
MNDNR-ELS008
June 2014
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- minnesota department of natural resources consent to
- through june 30 2022 ohv
- inmate roster printed on october 26 2021
- application for social security card
- 2829 university avenue se suite 310 minneapolis mn 55414
- home equity loan application
- required documents guide for standard real id and
- parental consent for a driver application of a minor
- minnesota department of corrections
- north dakota department of transportation
Related searches
- minnesota department of education reports
- state of minnesota department of education
- minnesota department of education website
- minnesota department of education licensing
- minnesota department of education stand
- importance of natural resources ppt
- importance of natural resources pdf
- secretary of natural resources california
- types of natural resources pdf
- conservation of natural resources ppt
- are natural resources vital to the economy
- misuse of natural resources examples