Use the form below to request a new ID card.
(229) 249-9008
(229) 249-9034
3342 Greystone Way Valdosta, GA 31605
PO BOX 3493
Valdosta, GA 31604
FIRST NAME*
LAST NAME*
BIRTH DATE
ADDRESS 1*
ADDRESS 2
CITY*
STATE*
ZIP*
ADDITIONAL INFORMATION
PHONE
EMAIL*
AGENT/ACT MANAGER* —Please choose an option—Rita Hughes PowellScott PowellTaylor PeacockDianne MosbyMarsha TurnerNo Preference
CARRIER(S)*