A-115 Declaration of Lost or Misplaced Driver's Licence Download Form PDF Client Information Client Information First Name Middle Last Mailing Address Building/Appartment # Mailing Address Community - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province/Territory Postal Code Home Telephone (867) Work Telephone (867) Date of Birth Sex (select one) Male Female Eye Colour (select one) Black Brown Hazel Green Blue Hair Colour (select one) Black Brown Grey Red Blonde White Bald Weight kg: lbs: Height cm: ft: in: Steps Current Driver's Licence Application Driver's Licence Information Signature and Date Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.