Missouri Department of Revenue - Motor Vehicle Forms · Missouri state form

Form 4678 Request for DPPA Security Access Code

Use Form 4678 to request, modify, or recertify a security access code for restricted driver or motor vehicle information. Eligibility documentation must accompany the request.

What this form is

Form 4678 is for requesters seeking a new security access code, a change to requester information, or recertification to access restricted information. The requester selects the applicable purpose and type of information, provides organization and contact details, and agrees to the listed security requirements. Appropriate documentation must be submitted to verify eligibility. The requester’s signature must be notarized.

Who needs it

Organizations or individuals seeking a security access code to obtain restricted driver or motor vehicle information from the Department of Revenue.

Why it needs a notary

The requester’s signature must be notarized, as the form includes a notary jurat. This can be done online with a commissioned online notary.

How to submit it

Mail the completed form and appropriate eligibility documentation to Driver License Bureau, DL Record Center, P.O. Box 2167, Jefferson City, MO 65105-2167.