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Retiree Update Form

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This form has been modified since it was saved. Please review all fields before submitting.

First Name*
Last Name*
Email*
Sheriff ID Number
Mailing Address*
City*
State*
Zip Code*
Phone Number*
This request is for:
1. ID Card
2. CCW Renewal
3. HR218 Renewal
4. DMV Confidentiality
My ID Card was:
1. Lost
2. Stolen
I would like my CCW Renewal by:
1. Mail
2. Email
3. Fax
I would like my DMV Confidentiality by:
1. Mail
2. Pick-up
If you are reporting a lost or stolen ID card, you must also provide a police file number.
If you are requesting the renewal application be faxed to you, please provide a fax number:
Additional Instructions
Please let us know if you are aware of the death or serious illness of any retirees.