Form 735-7266 - Order Own Records

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DMV
ORDER YOUR OWN RECORD
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
You can order you own record, by mail, from the DMV Headquarters. Records are mailed to you at
your address shown on your DMV computer record unless you indicate otherwise. If you want records
faxed or mailed to an address other than your address on the DMV’s record, you must include enough
information in your request for DMV to verify your identity, such as: date of birth, place of birth,
address of record, mother maiden name, etc. If you are requesting a record that contains another
person’s personal information as well as your own (such as a title history or odometer history), your
personal information will appear on the record(s) but other person’s will not.
INSTRUCTIONS: Fill out the name and address fields completely. You must include enough vehicle
and/or driver information for DMV to locate the record.
NAME OF INDIVIDUAL
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM / DD / YYYY)
MOTHER’S MAIDEN NAME
PLACE OF BIRTH
PLATE NUMBER
VIN (VEHICLE IDENTIFICATION NUMBER)
ADDRESS
CITY
STATE
ZIP CODE
ADDRESS TO MAIL TO (IF DIFFERENT)
CITY
STATE
ZIP CODE
FAX NUMBER
TELEPHONE NUMBER (INCLUDE EXT. IF ANY)
(
)
(
)
MESSAGE:
TYPE OF RECORD REQUESTED
NON-EMPLOYMENT DRIVING RECORD = 3 YEAR RECORD $1.50
VEHICLE RECORD PRINT $4.00
DR
VR
EMPLOYMENT DRIVING RECORD = 3 YEAR RECORD $2.00
VEHICLE TITLE HISTORY $22.50
DE
VH
DRIVER ADDRESS INFORMATION $1.50
PREVIOUS OWNER INFORMATION $14.00
DI
VO
OPEN-ENDED NON-EMPLOYMENT DRIVING RECORD $1.50
INSURANCE INFORMATION SEARCH $10.00
DO
II
CERTIFIED COURT PRINT = THIS OPTION MAY INCLUDE
CP
CC
CERTIFICATION $1.00
MORE THAN FIVE YEARS OF RECORD INFORMATION $3.00
OTHER: _________________________________________________________________________________________________________
SIGNATURE
DATE
X
A CHECK OR MONEY ORDER, PAYABLE TO “OREGON DMV”
For a complete list of fees and records (refer to Form 6691)
MAIL REQUEST TO: DMV RECORDS SERVICES, 1905 Lana Avenue, Salem, OR 97314
Please call Records Services at 503-945-5475 with questions regarding this form.
735-7266 (3-06)

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