TDI and TCI Personal Records Release

To request copies of your personal records, complete this form. The form must be signed and dated in the presence of a Notary Public. Examples of authorized representatives include parents of minors, legal guardians, and power of attorney.

Forms can be submitted in the following ways:

• In Person: You may complete this document at the DLT, and a Notary will be provided by appointment. Please call 401-462-8877 to schedule an appointment with a notary. If you show up without an appointment, a notary may not be available for you. The address is 1511 Pontiac Avenue, Building 73-3, Cranston, Rhode Island 02920.
• Mail: Submit the completed form via regular mail to 1511 Pontiac Avenue, Building 73-3, Cranston, Rhode Island 02920, c/o Legal Division.
• Email: Email the completed form to Marangely Ortiz, Legal Secretary, at Marangely.Ortiz@dlt.ri.gov.
• Fax: Fax the completed form to 401-462-8884, c/o Legal Division.