Form Itd 3374 - Idaho Motor Vehicle Record Request
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2ITD 3374 (Rev. 12-17)
Idaho Motor Vehicle Record Request
Supply # 019574755
Idaho Transportation Department
Incomplete applications will be returned. No refunds will be processed whether or not a record is found.
Requestor/Agency Information
Requesting Company Name (Print)
FEIN
Requestor or Company Authorized Representative's Name (Print)
Drivers License or SSN
Address
City
State
Zip
Phone Number
Preferred Method of Receiving Response
Mailed
E-Mailed To
Faxed To
Authorization To Receive Request (See page 2 for detailed Authorization Definitions and Requirements)
Per Idaho Code Section 49-203, in order to receive personal information found in motor vehicle records, by signing below I
certify under penalty of perjury pursuant to the law of the state of Idaho that I meet the authorization listed below and that the
use of such information will be strictly limited to the use described on this form.
I certify that I meet the requirements for authorization number
. (Determine your authorization from the list on Page
2.)
I do not meet the requirements for authorization and request only the release of non-personal information.
Requestor’s Signature (Required)
Date
X
Request Type and Associated Fees
$ 7.00 ea.
Current Title Record
$ 7.00 ea.
Current Registration Record
Includes current record and any lienholder for a specific vehicle
Includes most recent registration record for a specific vehicle
History Title Record*
$14.00 ea.
History Registration Record
$ 7.00 ea.
Includes current title record and any supporting documents for a
Includes any one registration record - Provide name or
specific vehicle
date below.
Title Record Summary by Name*
$ 7.00
(ea. name variation)
Includes make, model, year, VIN, and indicates lien
Certification of the Record*
$14.00
Note: This fee is in addition to the fee for each record; e.g.,
Proof of Liability Release*
$ 7.00 ea.
certified current title records are $21.00 for each record.
Includes liability release for a specific sale - Provide seller name
or date range below.
Total Remittance $
Request Types followed by * must be processed by ITD. Requests processed by ITD take approximately one week.
Vehicle Identification Number
Plate Number
Make
Model
Year
1.
2.
3.
Name (Include Variations)
Address
City
State
Zip
1.
2.
3.
Payment Information – Credit Card, Check, or Money Order - Do Not Send Cash
Credit Card Type
Card Number
Expiration Date
Security Code
Visa
MasterCard
Cardholder’s Signature (Required if paying by credit/debit card)
Date
X
Credit card purchases are subject to an ITD service fee.
~ For mailing or faxing instructions - See Page 2 ~
Page 1 of 2
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