Fillable Form Mv-15 - Request For Dmv Records printable pdf download

REQUEST FOR DMV RECORDS

PLEASE READ THE INSTRUCTIONS BELOW FIRST

Read and complete steps 1 - 4. We cannot process incomplete forms (forms that do not have enough information to conduct a

diligent search, that have insufficient fees, or that have no identification). Incomplete forms will be returned.

Remember to attach a photocopy of your driver license or government-issued photo ID card (you may black out the picture), or have

your signature in STEP 4 notarized.

STEP 1

Provide the name and the address where the records are to be mailed.

We need to identify you, the requester. Provide your name and address in STEP 2 for future reference.

STEP 2

PART A

Check the box next to each item you are requesting. You may request more than one.

PART B

Provide as much information as possible about the motorist or vehicle record(s) that you are requesting.

You must tell us why you want the record(s) that you are requesting. Place a check mark next to each

STEP 3

permissible use that applies for the record(s) that you are requesting. Personal information on certain DMV records

is protected by the Federal Driver’s Privacy Protection Act (18 U.S.C. 2721 er seq) and also by sections 87 and 89 of the NYS

Public Officer’s Law. Records that pertain to a motor vehicle operator’s license, permit, motor vehicle title, motor vehicle

registration, or identification card issued by DMV are protected by the Driver’s Privacy Protection Act. If you are requesting

only your own record(s), 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.

Sign and print your name. Remember to attach a photocopy of your driver license, government-issued

STEP 4

identification card, or have your signature in STEP 4 notarized.

Mail your completed MV-15 form, identification, and payment to:

FINAL

NYS Department of Motor Vehicles

MV-15 Processing

6 Empire State Plaza

Albany NY 12228

ACCEPTABLE METHOD OF PAYMENT: Check or money order payable to the Commissioner of Motor Vehicles (no starter

NOTE

checks accepted - must have name pre-printed), a DMV search account with information filled in or exempt.

Exempt From Fees: Government agencies; public officers, boards or bodies; volunteer fire companies; volunteer ambulance

services; legal aid bureaus or societies; or any private entity acting pursuant to NY County Law section 722 are exempt.

NOTE: The search fee must be charged for every search even if no records are found.

MV-15 (9/15)

Your return receipt

DMV OFFICE USE ONLY

STEP 1

Your File Name or Number:

__________ No record(s)

$ ____________

__________ Abstract(s)

$ ____________

__________ Application(s)

$ ____________

Ticket(s); Summons(es);

__________ Ticket Disposition(s)

$ ____________

__________ Suspension/Revocation Order (LIC)

$ ____________

__________ Suspension/Revocation Order (REG) $ ____________

Print/Type name and mailing address.

__________ Vehicle & Traffic Law Book(s)

$ ____________

Insurance Search/

__________ Insurance Activity Expansion report

$ ____________

__________ FS Insurance card or FH Certificate

$ ____________

TOTAL FEE

Operator Initials ____________

Amount Received

MV-15 (9/15)

Date Processed ____________

REFUND (IF ANY)

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Form Mv-15 - Request For Dmv Records

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