This form is for requesting an expedited re-issue of your lost MSB-8 certificate. Be sure and properly fill out where you want your new certificate sent especially your email address. Once you submit the required information you will be redirected to our secure payment processing site. There you will be charged a $45 processing fee. After payment is received you should expect to receive an emailed copy of your new certificate in 1-2 days, along with the mailed copy in 5-7 days, if we are able to find your information. If unable, we will refund your money and direct you to a link for more information on your options.
|Birth Date: *|
|Drivers License or Permit Number: *|
Please doublecheck this is entered correctly. Contact our office if you do not have this form of ID.
|License State: *|
|License Country: *|
|Ship-To Address: *|
|Word Verification (click on the graphic for a new captcha):|