Secretary of State Jesse WhiteBACK TO CYBERDRIVEILLINOIS.COM HOME PAGE

Emergency Contact Database


To correctly modify or delete an existing Emergency Contact record, the "Type" selected below must be exactly the same as when the record was originally created.

Type:


Driver License (DL) or Commercial Driver License (CDL) Only:
Instruction Permit (IP) Only:
Identification Card (ID) Only:
Temporary Visitor's Driver License (TVDL) Only:
Both DL (or CDL) and ID:
Both ID and IP:


Illinois Driver's License: *
  (E.g. A12345678901 or A123-4567-8901)

Date of Birth: *
  (E.g. mmddyyyy or mm/dd/yyyy)

Last 4 SSN: *


IP: *
  (E.g. A12345678901 or A123-4567-8901)

Date of Birth: *
  (E.g. mmddyyyy or mm/dd/yyyy)

Illinois Identification Number: *
  (E.g. 12345678901A or 1234-5678-901A)

Date of Birth: *
  (E.g. mmddyyyy or mm/dd/yyyy)

Last 4 SSN: *


TVDL: *
  (E.g. A12345678901 or A123-4567-8901)

Date of Birth: *
  (E.g. mmddyyyy or mm/dd/yyyy)

Illinois Driver's License: *
  (E.g. A12345678901 or A123-4567-8901)

Illinois Identification Number: *
  (E.g. 12345678901A or 1234-5678-901A)

Date of Birth: *
  (E.g. mmddyyyy or mm/dd/yyyy)

Last 4 SSN: *


Illinois Identification Number: *
  (E.g. 12345678901A or 1234-5678-901A)

IP: *
  (E.g. A12345678901 or A123-4567-8901)

Date of Birth: *
  (E.g. mmddyyyy or mm/dd/yyyy)

Last 4 SSN: *