LTC-100 Copy Request Please fill out the request form for copies of your CHL-100. There will be a $10 fee for each request. Students Full Name help Drivers License Number - State help Your email* Date of Class help Enter Amount - $10.00* Other Request Name on card CC number we accept MC or Visa only CVS CC Expires 010203040506070809101112 / 21222324252627282930313233 Please confirm that you are human by answering this simple math problem 1 + 5 = Submit
