Driver Abstract Request Form -Yukon Motor Vehicles
Download a blank fillable Driver Abstract Request Form -Yukon Motor Vehicles in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Driver Abstract Request Form -Yukon Motor Vehicles with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1DRIVER ABSTRACT REQUEST FORM
DRIVER INFORMATION
Name: _________________________________________
_________________________________________
____________
Last Name
First Name
Middle Initial
Yukon Driver’s Licence No. (if known): _______________________________________ Date of Birth: _________________
yyyy/mm/dd
Phone Number: _______________________________________
DELIVERY INSTRUCTIONS
Mailing Address: _________________________________________________________________________________________
Street Adress
_________________________________________________________________________________________________________
City
Province/Territory
Postal Code
Fax Number: ( _____ ) _________________ E-mail Address: ___________________________________________________
DRIVER ABSTRACTS
Driver Abstracts are issued in 3 stages (3 year, 5 year and life). Most insurance companies require a 5 year abstract.
Unless otherwise stated a 5 year abstract will be issued.
3 year
5 year
life
PAYMENTS
PLEASE DO NOT E-MAIL CREDIT CARD INFORMATION
There is a $10.00 fee for each abstract requested. All payments payable to Government of Yukon. If mailing your
request, please pay by cheque or money order to the address below. If faxing your request, upon receipt of this form,
Motor Vehicles staff will contact you for payment.
DO NOT ATTACH YOU PAYMENT INFORMATION TO THIS FORM
There is a 24 to 48 hour turnaround time for faxed/emailed requests.
No cardholder information such as names, account numbers, or other information embossed, encoded or appearing in any manner on the card will
be used for any purpose other than in respect to this transaction.
Yukon Motor Vehicles cannot guarantee the confidentiality of an e-mail response. E-mail is not considered a secure method of communication and
personal information could potentially be read by an unauthorized person or persons. Emails sent to and from work computers could potentially
be read by an employer and emails sent to a home address may be read by anyone with access to that home computer such as other members of
the household. Generally, email is not encrypted and could be intercepted by any of the internet service providers that handle the emails from the
sender to the recipient.
________________________________________________________________
__________________________________
Signature
Date (yyyy/mm/dd)
Mail Request to:
Fax Request to:
E-mail Request to:
Yukon Motor Vehicles
(867) 393-6220
Fully completed and signed forms
Box 2703 W-22
Yukon Motor Vehicles
can be scanned and e-mailed to
Whitehorse, Yukon
Motor.Vehicles@gov.yk.ca
Y1A 2C6
PLEASE DO NOT E-MAIL CREDIT CARD INFORMATION
YG(5947EQ)F1 12/2015
Print
Clear
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal