Replacement Photo ID Request

License Number (NPN)

NPN

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Licensee Name

Email Address

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Access Code

You have provided a valid access code yet. Please go back to the prior page and enter your code.

Your Photo

How Long Ago Was This Photo Taken Value is not selected

Have you recently requested a replacement ID?

Yes

No

Why are you requesting a replacement ID?

In order to issue you a replacement Photo ID, we need you to submit a new photo.

You can submit a new photo using your smart phone.

Please scan this QR code from a Mobile Device and then Choose "Submit Photo" to proceed.

auth_key

auth_code

photo_url

code_sent

auth_status

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