Mva Request For Motor Vehicle Administration Records Page 2
Download a blank fillable Mva Request For Motor Vehicle Administration Records in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Mva Request For Motor Vehicle Administration Records with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2MVA Privacy Protection Agreement
Use of information obtained through this Request is governed by Federal and State laws. It is the responsibility of the Requestor
to insure that all use of information obtained through this Request complies with all applicable Federal and State laws.
By signing this “Request for Motor Vehicle Records”, the Requestor certifies that the Requestor, (if applicable) Requestor’s
employer and employees:
1. Understand that federal laws affect access to and use of computer information, including, but not limited to, 15 U.S.C. § 271
et seq. (National Institute of Standards and Technology); 44 U.S.C. § 3541 et seq. (Federal Information Security Management
Act of 2002); 49 U.S.C. § 30301 et seq. (National Driver Register Act of 1982); 5 U.S.C. § 552 (Freedom of Information Act);
5 U.S.C. § 552a (Privacy Act of 1974); 18 U.S.C. § 1030 (U.S. Computer Crime Statute of 1984); 18 U.S.C. § 1001 et seq.
(Computer Fraud and Abuse Act of 1986); 17 U.S.C. § 109 (Computer Software Rental Amendments Act of 1990); 15 U.S.C. §
1681 et seq. (Fair Credit Reporting Act); and 18 U.S.C. § 2721 et seq. (Driver’s Privacy Protection Act of 1994).
2. Understand that the Maryland Department of Transportation Office of Transportation Technology Services, its client agencies
and their customers also adhere to State data processing security policies as set forth in Executive Order 01.01.1983.18 (Privacy
and State Data System Security); Md. Code Ann., Criminal Law Article § 8-606 (Making false entries in public records and related
crimes) and § 7-302 (Unauthorized access to computers and related material); Md. Code Ann., General Provisions Article, Title 4
(Maryland Public Information Act); and, as published by the Secretary of the Department of Budget and Management from time
to time under Md. Code Ann., State Finance and Procurement Article, Title 3A, Subtitle 3 (Information Processing).
3. Agree to maintain in strictest confidence and not willfully disclose to any person, firm, or corporation information obtained as a
result of their access to personal information from motor vehicle records.
4. Are familiar with all provisions of the federal Driver’s Privacy Protection Act of 1994, 18 U.S.C. § 2721 et seq., and with Title 4 of
the General Provisions Article (Maryland Public Information Act), and §§ 12-111 through 12-113 of the Transportation Article,
Annotated Code of Maryland, which limit access to personal information from public records in Maryland. The Requestor on
behalf of itself, its successors and assigns further agrees that all users will abide by the terms of both the federal and state law
including, but not limited to, those restricting access to personal information from Motor Vehicle Administration records only to
those persons and for those purposes which are permitted under both laws.
5. Agree to keep a record for five (5) years of persons to whom personal information is redisclosed under this Agreement, and the
purpose for which the personal information is to be used; and, to make that record available to the Motor Vehicle Administration
upon request.
6. Shall be liable for, and shall indemnify, defend and hold the Motor Vehicle Administration harmless for any misuse or
misappropriation of any personal information in a record obtained from the Administration in connection with this Agreement,
including, without limitation, reasonable attorneys’ fees and all other costs of litigation.
7. Shall further indemnify the Motor Vehicle Administration for and against any and all losses, damages, judgments, liabilities, or
similar costs and expenses which arise in whole or part out of acts or omissions by the client with respect to laws restricting
access to and disclosure of vehicle records including, without limitation, reasonable attorneys’ fees and all other costs of
defending against such action or claim.
Notice of Appeal Procedure
In accordance with General Provisions Article (“GP”) § 4-203(c), the Requestor (“You” or “you”) is informed of all available remedies
for review of the decision of the Motor Vehicle Administration (“MVA”) to withhold any of the documents requested on this front
side of the form. Under GP § 4-361, you are entitled to administrative review of the MVA’s position upon request. If requested,
such review will be conducted in accordance with the Administrative Procedures Act, §§ 10-201 through 10-227 of the State
Government Article, and the hearing regulations of the MVA found at COMAR (Code of Maryland Regulations) 11.11.02. You may
also pursue judicial enforcement under GP § 4-362 of the Maryland Public Information Act. (Copies of the law available upon
request.)
Reverse
Apply to register to vote with your driver’s license transaction. For details ask your customer agent.
Apply to...
to Vote Now!
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal