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The New York Request Form is an essential tool for individuals seeking certified records from the Department of Motor Vehicles (DMV). This form is designed for two primary purposes: ordering one's own DMV records and requesting records for another person. Each process requires specific steps to ensure compliance with state regulations. For personal requests, individuals must provide their name, address, and signature, as well as specify the type of records desired, such as driving abstracts or vehicle registration details. Payment must be included, along with a photocopy of a valid identification. When requesting another person's records, additional steps are necessary, including verifying permissible uses for the information requested. Certain entities, like government agencies and legal aid organizations, may qualify for fee exemptions under specific conditions. The completed form, along with payment and identification, should be mailed to the DMV's designated processing address. Understanding the requirements and following the checklist carefully can streamline the process of obtaining vital DMV records.
Similar forms
- DMV Record Request Form: Similar to the New York Request form, this document is used to request personal driving records from the Department of Motor Vehicles. It requires the requester to provide identification and specify the type of records needed, ensuring compliance with privacy regulations.
- Vehicle Title Application: Like the New York Request form, this application requires personal information and proof of identity. It is necessary for obtaining a vehicle title and involves a fee, similar to the payment process outlined in the DMV record request.
- Driver's License Renewal Application: This document shares similarities with the New York Request form in that it requires personal details and identification. Both forms are designed to confirm the identity of the applicant while ensuring compliance with state regulations.
- Traffic Violation Notice: This notice, like the New York Request form, includes specific information about the individual and the violation. It serves as a formal communication from the DMV, requiring acknowledgment and action, similar to the steps outlined in the request form.
- Insurance Verification Form: This form is comparable to the New York Request form as it requires detailed personal information and documentation. Both documents aim to verify the identity of the individual and the legitimacy of the request.
- Background Check Authorization Form: Similar to the New York Request form, this authorization is necessary for individuals to request background checks. It requires the individual's consent and identification, ensuring compliance with privacy laws while allowing access to sensitive information.
Form Preview
REQUEST FOR CERTIFIED DMV RECORDS
INSTRUCTIONS FOR ORDERING YOUR OWN DMV RECORD
To order your own DMV record, but not a title record, use this checklist to complete all of the requirements listed below. (Read about title records in the note at the bottom of this section.) You must:
Provide the name and address of where to send your record(s) in Step 1 .
Provide your name, address and signature in Step 2 .
Check the box next to each type of record that you want and provide as much search information as possible in Step 3 .
Enclose an acceptable form of payment according to the instructions in Step 4 .
Include a photocopy of your driver license or
NOTE: Sometimes, title (vin) abstracts may contain the names of other individuals, so you must check one or more of the permissible uses that are listed and sign the certification in Step 5 .
INSTRUCTIONS FOR ORDERING ANOTHER PERSON’S DMV RECORD
To order another person’s DMV record, use this checklist to complete all of the requirements listed below. You must:
Provide the name and address of where to send the record(s) in Step 1 .
Provide your name and address in Step 2 .
Check the box next to each type of record that you want and provide as much search information as possible in Step 3 .
Enclose an acceptable form of payment according to the instructions in Step 4 .
Have one or more of the permissible uses described in Step 5 . Check all of the permissible uses that apply and sign the certification.
Include a photocopy of your driver license or
signature notarized in Step 5 .
Exemption from fees: Government Agencies; public officers, boards or bodies; volunteer fire companies and ambulance services; legal aid bureaus or societies or any private entity acting pursuant to NY County Law § 722 are exempt as long as the Agency identifies themselves, that the records being requested are for business use, and the records are mailed to the requesting Agency’s business address.
Exemption cannot be used to obtain your own personal records, or V&T Law Books.
MAIL YOUR completed
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NYS DEPARTMENT OF MOTOR VEHICLES, |
DO NOT STAPLE |
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Your return receipt |
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STEP 1 |
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DMV OFFICE USE ONLY |
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No record |
ABS___ HIS___ TCK___ SUS___ INS___ |
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$_____ |
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Abstract(s) |
Life___ |
Stnd___ |
Reg___ Ttl___ |
Ins___ |
$_____ |
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History ADD___ |
REG___ |
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$_____ |
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Print/Type name and mailing address where the |
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Ticket(s)/Disposition(s) _________________________ |
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$_____ |
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records will be mailed |
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Suspensions/Revocations |
Lic___ Reg___ |
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$_____ |
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Name |
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Address1 |
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TOTAL FEE |
$ |
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Address2 |
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Initials ____________ |
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City, |
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Date ____________ |
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Amount Received |
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$ |
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State, |
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Zip |
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FT # ____________ |
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REFUND (IF ANY) |
$ |
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PAGE 1 OF 3 |
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STEP 2 REQUESTOR’S INFORMATION
LAST NAME |
FIRST |
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M.I. |
ADDRESS WHERE YOU GET YOUR MAIL (INCLUDE STREET & NO.) |
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APT # |
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CITY |
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STATE |
ZIP CODE |
SIGNATURE |
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EMAIL ADDRESS |
X
DAYTIME PHONE NUMBER (REQUIRED):
o Check here if the mailing address you provided in Step 1 is different from the requestor’s address.
oCheck here to have your certified records sent electronically. Print or type your email address below. Records sent electronically WILL NOT be mailed.
STEP 3 CHECK THE BOX NEXT TO EACH TYPE OF RECORD THAT YOU WANT (SEARCH INFORMATION REQUIRED)
Provide as much search information as you know about the record(s) you are requesting.
LAST NAME |
FIRST |
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M.I. |
DATE OF BIRTH |
SEX |
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N.Y. DRIVER OR |
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MAILING ADDRESS (INCLUDE STREET & NO.) |
APT # |
CITY |
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STATE |
ZIP CODE |
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TICKET NUMBER of SUSPENSION ORDER NUMBER |
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DATE OF VIOLATION |
OFFENSE |
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# of copies |
Fee |
Total |
LICENSE
o DRIVING ABSTRACT (displays records for the last 4 years) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o DRIVING RECORD HISTORY* (referred to as “LIFETIME ABSTRACT”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
*DMV can only provide this type of abstract to the individual whose name is on the record. Examples of when this may be required include: background checks, bar exam, applicants for a license in U.S. or Canada, and an attorney reviewing client’s entire record.
*If your lawyer, court personnel or someone other than YOU is requesting your Lifetime abstract, they must include form
*Note - this history does not always include information that dates back to when a person was originally granted driving privileges. Some information is purged, as required by law.
x $10 each = $
x $10 each = $
0
0
REGISTRATION / OWNER
o ADDRESS HISTORY (only your own address history) |
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x |
$10 each |
= |
$ |
0 |
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o TICKET DISPOSITION* (includes photocopy of ticket or copy of electronic record) |
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x |
$10 each |
= |
$ |
0 |
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*DMV does not retain parking tickets - contact city, town or village
o DRIVER LICENSE REVOCATION/SUSPENSION ORDER |
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x $10 each = $ |
0 |
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IF YOU WANT MORE THAN ONE TICKET, DISPOSITION, OR SUSPENSION ORDER, PLEASE ATTACH A LIST AND INCLUDE $10 FOR EACH ONE
Provide as much search information as you know about the record(s) you are requesting.
LAST NAME |
FIRST |
M.I. |
DATE OF BIRTH |
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OR
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PLATE |
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YEAR |
MAKE |
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MODEL |
VIN # |
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# of copies Fee |
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Total |
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o INSURANCE INFORMATION SEARCH/ACTIVITY REPORT |
. . |
. . . . . . . . . . . . . . . . . |
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x $10 each |
= $ |
0 |
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o If crash/accident related, please include date of crash/accident |
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o LIST OF AN INDIVIDUAL’S CURRENT AND PREVIOUS VEHICLE REGISTRATION (PLATES) (if available) |
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x $10 each |
= $ |
0 |
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o VEHICLE REGISTRATION (PLATE) ABSTRACT |
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x $10 each |
= $ |
0 |
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0 |
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o VEHICLE REGISTRATION SUSPENSION ORDER |
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x $10 each |
= $ |
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o VEHICLE TITLE (VIN) ABSTRACT (Owner - only includes active lien information) |
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x $10 each |
= $ |
0 |
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IF YOU WANT MORE THAN ONE PLATE, VIN ABSTRACT OR SUSPENSION ORDER, PLEASE ATTACH A LIST AND INCLUDE $10 FOR EACH ONE
Please calculate the total for each of the items you want and enter the total here |
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TO TA L D U E $ 0 |
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STEP 4 |
PAYMENT METHOD - DO NOT SEND CASH |
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lMake checks payable to the “Commissioner of Motor Vehicles”
lPlease remember to SIGN YOUR CHECK
lNo starter checks
lUS Funds only
o Check |
o Money Order o Exempt |
o DMV Debit account number
PAGE 2 OF 3 |
STEP 5 PERMISSIBLE USE(S) & CERTIFICATION
Driver Privacy Protection Act: The Federal Driver’s Privacy Protection Act (DPPA) (18 U.S.C. §2721.et seq.) (“DPPA”) regulates access to Motor Vehicles records. Recipient hereby certifies that the information provided hereunder by DMV shall be used solely for the following purpose(s).
(Recipient must check all that apply.)
1.Use in any civil, criminal, administrative, or arbitral proceeding in any court or agency, including the service of process, investigation in anticipation of litigation, and the execution or enforcement of judgments and orders or pursuant to a court order. (18 U.S.C. §2721 (b)(4))
2.Use by an insurer or insurance support organization or
3.Use in providing notice to the owners of towed or impounded vehicles. (18 U.S.C. §2721 (b)(7))
4.Use by an employer, its agent or insurer to obtain information relating to the holder of a commercial driver's license required under Chapter 313 of Title 49 of the U.S.C. (18 U.S.C. §2721 (b)(9))
5.For use in the normal course of business by a legitimate business or its agents, employees, or contractors, but only-
(A)to verify the accuracy of personal information submitted by the individual to the business or its agents, employees, or contractors; (18 U.S.C. §2721 (b)(3)(A)) and
(B)if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the purposes of preventing fraud by, pursuing legal remedies against, or recovering on a debt or security interest against, the individual. (18 U.S.C. §2721 (b)(3)(B))
6.Use required under NYS Vehicle and Traffic Law, Article 19A - Special Requirements for Bus Drivers. (18 U.S.C. §2721 (b)(14))
7.Use required under NYS Vehicle and Traffic Law, Article 19B - Special Requirements for Commercial Motor Carriers.
(18 U.S.C. §2721 (b)(14))
8.Use by any government agency, including any court or law enforcement agency, in carrying out its functions. (18 U.S.C. §2721 (b)(1))
9.Use by any private person or entity acting on behalf of a federal, state, or local agency in carrying out its functions. (18 U.S.C. §2721 (b)(1))
10.Use in matters of motor vehicle or driver safety. (18 U.S.C. §2721 (b)(2))
11.Use in matters of motor vehicle theft. (18 U.S.C. §2721 (b)(2))
12.Use in matters of motor vehicle emissions. (18 U.S.C. §2721 (b)(2))
13.Use in matters of motor vehicle product alterations, recalls or advisories. (18 U.S.C. §2721 (b)(2))
14.Use in performance monitoring of motor vehicles, motor vehicle parts and dealers. (18 U.S.C. §2721 (b)(2))
15.Use in motor vehicle market research activities, including survey research. (18 U.S.C. §2721 (b)(2))
16.Use in removal of
17.Use in the operation of private toll transportation facilities. (18 U.S.C. §2721 (b)(10))
18.For use by any requester, if the requester demonstrates it has obtained the written consent of the individual to whom the information pertains. (May use form
19.Use specifically authorized under NYS law, IF such use is related to the operation of a motor vehicle or public safety.
Cite the specific NYS law here: |
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(18 U.S.C. §2721 (b)(14)) |
20.Use in research activities and in producing statistical reports, as long as the personal information is not published, disclosed or used to contact individuals. (18 U.S.C. §2721 (b)(5))
To knowingly make a false statement or conceal a material fact in this written statement may be punishable as a criminal offense. In addition, anyone who makes false representation to obtain any personal information from an individual’s Motor Vehicles record is subject to federal criminal fines under the Driver’s Privacy Protection Act (DPPA).
YOU MUST ATTACH A COPY OF YOUR ID.
I certify that I have read the Drivers Privacy Protection Act (18 U.S.C. Sec 2721 et seq.) and will comply fully with the terms of such law. I also agree to defend, hold harmless and indemnify DMV from all actions brought against DMV, or damages alleged against DMV, for my negligent, improper or unauthorized use or dissemination of the information provided by the DMV.
I certify that if I receive or have access to records or information from the DMV, I shall not (i) use such records or information for civil immigration purposes or (ii) disclose such records or information to any agency that primarily enforces immigration law, such as U.S. immigration and customs enforcement and U.S. customs and border protection, or to any employee or agent of any such agency unless such disclosure is pursuant to a cooperative arrangement between city, state and federal agencies which does not enforce immigration law and which disclosure is limited to the specific records or information being sought pursuant to such arrangement. I certify that, in addition to the requirements of 18 USC 2721(c), I shall keep for a period of five years records of all uses and identifying each person or entity that primarily enforces immigration law that received department records or information from such certifying person or entity. I shall maintain the records in a manner and form prescribed by the commissioner, and I shall make them available for inspection upon the commissioner’s request.
Signature X
Print Name |
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Date: |
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PLEASE DO NOT STAPLE |
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Common mistakes
Filling out the New York Request form for DMV records can be straightforward, but many people make common mistakes that can delay their requests. One mistake is not providing a complete mailing address in Step 1. This information is crucial for the DMV to send your records. If the address is incorrect or incomplete, your request may be returned or delayed.
Another frequent error is failing to include your signature in Step 2. A signature is essential to validate your request. Without it, the DMV cannot process your application. Additionally, some individuals forget to check the appropriate boxes next to the types of records they want in Step 3. This oversight can lead to receiving incorrect or incomplete information.
People often overlook the importance of including an acceptable form of payment in Step 4. If payment is not enclosed, the DMV will not process your request. This can be frustrating, especially if you have already spent time filling out the form. It's also worth noting that using cash is not allowed; checks or money orders are the only acceptable forms of payment.
Another mistake involves the identification requirements in Step 5. Some individuals fail to attach a photocopy of their driver’s license or government-issued ID, which is necessary for verification. Others may mistakenly believe that notarizing their signature is sufficient. Both steps must be completed to ensure the request is processed without issues.
Lastly, many people do not read the instructions regarding permissible uses carefully. In Step 5, it is essential to check all applicable boxes and sign the certification. Failing to do so may result in the DMV rejecting the request. Understanding these requirements can save time and prevent frustration.
More About New York Request
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What is the New York Request form?
The New York Request form, also known as the MV-15 form, is used to request certified records from the Department of Motor Vehicles (DMV). This can include your own driving record or that of another person, provided you meet specific requirements.
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How do I order my own DMV record?
To order your own DMV record, follow these steps:
- Provide the mailing address for where you want your record sent.
- Fill in your name, address, and signature.
- Select the type of record you want and provide any necessary information.
- Include payment as specified in the instructions.
- Attach a photocopy of your driver license or government ID, or have your signature notarized.
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Can I request someone else's DMV record?
Yes, you can request another person's DMV record, but you must meet certain conditions. You need to provide your name and address, specify the records you want, and check the permissible uses for the information. You also need to include a photocopy of your ID or have your signature notarized.
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What types of records can I request?
You can request various types of records, including:
- Driving abstract (last 4 years)
- Driving record history (lifetime abstract)
- Address history
- Ticket dispositions
- Vehicle registration abstracts
- Insurance information searches
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What is the cost to request a DMV record?
The fee for most records is $10 each. Make sure to calculate the total amount based on the records you are requesting and include that with your form.
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How do I pay for the records?
You can pay by check or money order made out to the "Commissioner of Motor Vehicles." Do not send cash. Be sure to sign your check and avoid using starter checks.
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What if I am a government agency requesting records?
If you are a government agency, you may be exempt from fees. You must identify yourself and state that the records are for business use. However, this exemption does not apply to personal records.
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What happens if I don’t provide the required identification?
Your request may be denied if you do not include a photocopy of your driver license or government-issued ID, or if your signature is not notarized when required.
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How do I submit the completed form?
Mail your completed MV-15 form, along with payment and identification, to:
NYS DEPARTMENT OF MOTOR VEHICLES, MV-15 PROCESSING, 6 EMPIRE STATE PLAZA, ALBANY NY 12228
Do not staple your documents together.
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What should I do if I have more questions?
If you have further questions about the New York Request form, consider visiting the DMV website or contacting their customer service for assistance.
Misconceptions
Understanding the New York Request form for DMV records can be challenging. Here are four common misconceptions that people often have:
- Misconception 1: You can request any DMV record for anyone.
- Misconception 2: There are no fees for requesting records.
- Misconception 3: You do not need to provide identification.
- Misconception 4: You can use DMV records for any purpose.
Many believe that anyone can request any DMV record. In reality, you can only obtain another person's DMV record if you meet specific permissible use requirements. These uses must be checked and certified on the form.
Some individuals think that requesting DMV records is free. However, there are fees associated with each type of record requested. These fees must be enclosed with the request form, except for certain government agencies and non-profit organizations that may qualify for exemptions.
Another common belief is that identification is not necessary when submitting the request. In fact, a photocopy of your driver’s license or a government-issued ID is required. Alternatively, your signature can be notarized.
Many assume that DMV records can be used for any reason. This is incorrect. The Driver Privacy Protection Act restricts the use of these records to specific purposes, such as legal proceedings or insurance investigations. Violating these restrictions can lead to serious penalties.
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Key takeaways
When filling out and using the New York Request form for DMV records, consider the following key points:
- Personal Information Required: Ensure you provide accurate personal details, including your name, address, and signature. This information is crucial for processing your request.
- Payment Method: Acceptable forms of payment include checks or money orders made out to the “Commissioner of Motor Vehicles.” Cash is not permitted.
- Identification Needed: Include a photocopy of your driver license or government-issued ID. Alternatively, you can have your signature notarized to validate your request.
- Permissible Uses: If you are requesting someone else's DMV record, you must check the applicable permissible uses and sign the certification. This step is essential for compliance with privacy regulations.
- Mailing Instructions: Send your completed form, payment, and identification to the specified address. Avoid stapling the documents, as this could complicate processing.
New York Request: Usage Guide
Completing the New York Request form for certified DMV records requires careful attention to detail. By following the steps outlined below, you can ensure that your request is processed efficiently and accurately. Make sure to gather all necessary information and documentation before starting the form.
- Step 1: Provide the name and address where you want the records sent. This information goes in the designated area at the top of the form.
- Step 2: Fill out your personal information, including your last name, first name, middle initial, mailing address, and signature. Don't forget to include your daytime phone number and email address if you want electronic delivery.
- Step 3: Check the boxes next to each type of record you want. Provide as much search information as possible, including the last name, first name, date of birth, and any relevant ticket or order numbers.
- Step 4: Enclose an acceptable form of payment. Make checks payable to the "Commissioner of Motor Vehicles." Ensure you sign your check and do not send cash.
- Step 5: Indicate the permissible use(s) for the requested records by checking all applicable boxes. Sign the certification and attach a copy of your driver’s license or government-issued ID, or have your signature notarized.
After completing the form, mail it along with your payment and identification to the specified address. Ensure that you do not staple the documents together. Your request will be processed upon receipt.