Ohio > Statewide > Bureau Of Motor Vehicles > Miscellaneous
Notarized Written Consent Release Of Personal Information BMV 5008 - Ohio
| Notarized Written Consent Release Of Personal Information Form. This is a Ohio form and can be used in Miscellaneous Bureau Of Motor Vehicles Statewide . |
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BUREAU OF MOTOR VEHICLES NOTARIZED WRITTEN CONSENT RELEASE OF PERSONAL INFORMATION I, _________________________________________, ________________________________ authorize Full Name Social Security Number the Ohio Bureau of Motor Vehicles and all Clerk of Courts Title Offices to release my personal information, (name, address, date of birth, and driver license number) and all other information to ____________________________________________________________. This authorization extends to records pertaining to my driver license, state identification card, vehicle registration, and Certificate of Title. This authorization extends to the release of medical and disability information. YES NO Signature The foregoing person came before me on the __________day of ___________, ______, and acknowledged that this consent was voluntary. ___________________________________ Notary ___________________________________ Printed Name My commission expires: _____________ BMV 5008 6/01 American LegalNet, Inc. www.FormsWorkflow.com
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