New York > Statewide > Department Of Motor Vehicles
Request For Driving And Or Vehicle Record Information MV-15 - New York
| Request For Driving And Or Vehicle Record Information Form. This is a New York form and can be used in Department Of Motor Vehicles Statewide . |
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New York State Department of Motor Vehicles INSTRUCTIONS FOR REQUESTING DMV RECORD INFORMATION USING FORM MV-15 (PLEASE READ INSTRUCTIONS FIRST) Use this form to request ONLY those items listed on Page 3. Follow steps on pages 1, 3 and 4. We cannot process incomplete forms, or forms received without enough information to conduct a search. STEP 1 Complete your return receipt located on the bottom portion of this page. Complete name and return address section, and attach a copy of your driver license, driver identification card issued by a state motor vehicle authority, or 6 points of identification (see form ID-44 for acceptable proof of identity). STEP 2 PART A Be sure to check the box or boxes next to each of the items you are requesting. PART B Provide as much information as possible about the motorist or vehicle records requested. STEP 3 Required compliance with the Federal Driver's Privacy Protection Act (DPPA) Please read this section carefully and place your initials on the line next to each permissible use you select (Page 4). IMPORTANT: If you are requesting only your own records, you may skip to STEP 4. ***Title abstracts or title application photocopies may contain the names of other individuals. If you are requesting these documents, you must complete STEP 3.*** STEP 4 Sign and print your name. Remember to attach a copy of your identification. Mail your completed application, along with your ID and check or money order (exact fee, no starter checks accepted), payable to the Commissioner of Motor Vehicles, to: MV-15 Processing NYS Department of Motor Vehicles 6 Empire State Plaza Albany NY 12228 STEP 1 Your return receipt Name:____________________________________ DOB: ____________________________________ Plate: ____________________________________ VIN: ____________________________________ OFFICE USE ONLY Records Found No Records Found Amount Received from you . . . . . . . . $ ______________ Fee . . . . . . . . . . $ ______________ Refund (if any) . . . $ ______________ Print/Type name and address where records are to be mailed. Operator__________________________ Date __________________________ MV-15 ( / 0) Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com MV-15 ( / 0) Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com STEP 2 To process this request, we need to identify you, the requester. Attach a copy of your driver license, non-driver identification card issued by a state motor vehicle authority, or 6 points of identification (see form ID-44 for acceptable proof of identity). Print your name and return address below, and fill in the payment method. PAYMENT METHOD DO NOT SEND CASH DMV account number (for account holders only) Check Money Order Exempt PAYABLE TO COMMISSIONER OF MOTOR VEHICLES Daytime Phone No. (optional): Check below the type of records you are requesting. PART A DRIVING RECORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VEHICLE REGISTRATION RECORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VEHICLE TITLE RECORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COMPLETE 19A ROSTER. PROVIDE BUS CO. FEDERAL EMPL. ID. # (SKIP PART B) DRIVER LICENSE APPLICATION Photocopy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONVICTION Photocopy (Write ticket no. or case no. in Part B below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DRIVER LICENSE SUSPENSION OR REVOCATION ORDER Photocopy (Write order # in Part B below) . . . . . . . . . . . . . DRINKING DRIVER PROGRAM COMPLETION CERTIFICATE Photocopy (Write ticket # in Part B below) . . . . . . . . . . . . TICKET/SUMMONS Photocopy (Write ticket no., date of violation and offense, if known, in Part B below) . . . . . . . . . . . . . VEHICLE REGISTRATION/TITLE APPLICATION Photocopy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VEHICLE REGISTRATION SUSPENSION ORDER Photocopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VEHICLE & TRAFFIC LAW BOOKS (How many? __________) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10 $10 $10 $10 for each driver. $11 $11 each $11 each $11 $11 each $11 each $11 each $ . 0 each PART B Provide as much information as you know about the records you are requesting. Please print clearly. Last Name First M.I. Date of Birth (Month/Day/Year) Sex / Mailing Address (Include Street & No.) Previous New York State Address (if known) Apt. # City State Apt. # City State / Zip Code Zip Code M F 9-digit Driver License ID Number or Number from Non-Driver ID Card Plate Number Vehicle Identification Number (from vehicle registration) Ticket, Case or Order Number (if known) Date of Violation Offense Class of Vehicle (from registration) Year of Vehicle Make of Vehicle MV-15 ( / 0) Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com New York State Department of Motor Vehicles REQUEST FOR DRIVING AND/OR VEHICLE RECORD INFORMATION STEP 3 _______ The Federal Driver's Privacy Protection Act (DPPA) regulates access to Motor Vehicles records. You must tell us why you want the records you are requesting. Place your initials next to each permissible use you select. 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. Use by an insurer or insurance support organization or self-insured entity in claims investigations, anti-fraud activities, rating or underwriting activities. Use in providing notice to the owners of towed or impounded vehicles. 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. Use in preventing fraud by, pursuing legal remedies against, or recovering on a debt or security interest against an individual in order to verify or correct the accuracy of personal information submitted by the individual to a legitimat
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