Application for the Driver’s Abstract of a Person Residing or Temporarily Living Outside Québec - Release Form Required

Sep 19, 2026

Authorization and release document for requesting a driver’s abstract for a person who resides or temporarily lives outside Québec. Includes fields for the driver’s licence holder identification, contact details, last Québec address, and delivery method (mail or fax) to a specified addressee. Requires the licence holder’s authorization, date, signature, and comments. Provides personal information protection notice describing confidential handling, legal purposes under Québec acts, potential sharing with licensing agents and government bodies, and rights to access or correct data.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

DRIVER’S LICENCE HOLDER

AUTHORIZATION OF THE LICENCE HOLDER

Delivery address (mail) or fax information

Protection of Personal Information

Release Form Required Please make sure to fill in all fields. Return the signed release form to Driver’s Alert via email to [customerservice@driversalert.com.](customerservice@driversalert.com. If you)[ If you](customerservice@driversalert.com. If you) have any questions, please contact Driver’s Alert Customer Service 800.443.9600 Option 1, or email [customerservice@driversalert.com](customerservice@driversalert.com). Application for the Driver’s Abstract of a Person Residing or Temporarily Living Outside Québec DRIVER’S LICENCE HOLDER | Last name | | First name | | | | --- | --- | --- | --- | --- | | Québec driver’s licence number
| Date of birth
Year Month Day
| | Telephone
Office Extension
| Home | AUTHORIZATION OF THE LICENCE HOLDER | Last address in Québec | | | | | Driver’s abstract prepared in | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | French | | | English | | Note: The driver’s abstract will be sent to only one addressee and by only one means of delivery.
I authorize the Société de l’assurance automobile du Québec to send me my driver’s abstract. | | | | | | | | | | | | | | Mail to the following address
(outside Québec only): Street number Street name Apartment
Municipality
Province or State Country Postal code | | | | | | | | | | | | or | | | | | | | | | | | | | | Fax to the following number (outside Québec only): |
Country code |
Local or area code | 8 6 6 - 7 9 0 - 5 2 4 6

Fax number | | | | | | | | | Date (Year-Month-Day) Signature
Comments | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Protection of Personal Information All personal information gathered by authorized Société de l’assurance automobile du Québec (SAAQ) personnel is handled confidentially. The SAAQ requires this information to apply the Automobile Insurance Act, the Act respecting the Société del’assurance automobile du Québec and the Highway Safety Code. Under the Act respecting Access to documents held by public bodies and the Protection of personal information, this information may be conveyed to the SAAQ’s licensing agents and other Government departments or agencies, or used for statistical, survey, study, audit or investigative purposes. Failure to provide this information can result in a refusal of service. You may consult, correct or obtain a copy of any personal information concerning you. For more information, consult the Policy on Privacy on the SAAQ’s website at [saaq.gouv.qc.ca](saaq.gouv.qc.ca) or contact the SAAQ’s call centre. Send By fax: 418 644-7167 or By mail: Division de la diffusion (act. 850) Société de l’assurance automobile du Québec 333, boulevard Jean-Lesage Case postale 19600, succursale Terminus Québec (Québec) G1K 8J6 Société de l’assurance automobile du Québec 7147A 30 (2016-11)

FAQs

What information is required from the driver’s licence holder?

The form requests the licence holder’s last and first name, Québec driver’s licence number, date of birth, and telephone/home and office extension details.

How can the driver’s abstract be delivered to the requester?

Delivery is by one means of delivery to one addressee, either by mail to an address outside Québec or by fax to a specified number outside Québec.

What does the document say about personal information handling and rights?

Personal information is treated confidentially and used to apply Québec’s automobile insurance and highway safety laws. It also states that failure to provide information can result in refusal of service, and that individuals may consult, correct, or obtain a copy of personal information.

Sep 19, 2026

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