Form Mv-15c - Request For Driving Record Information
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2MV-15C (12/16)
REQUEST FOR DRIVING RECORD INFORMATION
Driver records contain the following information:
convictions, suspensions, revocations, accidents, accident prevention course completion (for more information, refer to form DS-242.1)
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DMV records do not contain the following information:
tickets, address history, convictions and/or accidents beyond their retention period, date first licensed, vehicle information
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You can request your record.
You can request another person’s record.
INSTRUCTIONS:
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A separate form, MV-15C, must be used for each search requested.
You must show documents to prove your identity (see form ID-44 for acceptable proofs of identity).
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The Vehicle and Traffic Law requires that DMV charge a $10 search fee. You must pay the fee even if the driver record is not found.
You can pay the fee with a check made payable to “Commissioner of Motor Vehicles”. According to section 202 of the Vehicle and Traffic Law,
the fee to search a record is not charged to: any public officer, board or body; a volunteer fire company; a volunteer ambulance service; a legal
aid bureau, society or private entity that acts pursuant to Section 722 of the County Law.
If DMV can not find a license record with the information you provide, DMV will send you written notification to advise you that the
requested record was not found.
o
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I request my own record.
I request another person’s record. (Complete Section A and Section B).
(Complete Section A ONLY)
You must write your initials next to the “permissible use” that applies to your request on Page 2 of this form.
A.
INFORMATION ABOUT THE DRIVER RECORD YOU REQUEST:
DRIVER LICENSE ID#
OR
NAME (Last, First, Middle)
DATE OF BIRTH
SEX
Month
Day
Year
M o F o
B.
YOUR INFORMATION:
DATE OF BIRTH
NAME (Last, First, Middle)
SEX
Month
Day
Year
M o F o
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Sign Here
Date
Your Signature (required)
CREDIT CARD AUTHORIZATION
My signature authorizes the use of my credit card for payment of any fees in connection with this request. I understand that I must be present for this transaction.
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Date
Sign Here
(Cardholder-Sign Name in Full)
Proof of Identification Provided by Requester:
o
o
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o
Client ID #
Driver License/Non-Driver ID Card
Cash
Check
Credit Card
o
Other ID (Specify):
Proof of Qualification for a No Fee Abstract:
o
Name of Organization
Exempt
Claiming Exemption
Purpose of the
Abstract Request
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Initials
Date
MVR
Signature
THE SPACE BELOW THE LINE IS FOR VALIDATION PURPOSES ONLY.
PAGE 1 OF 2
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