Form 5454 - Request To Obtain Interactive Driver Records Page 2
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Requestor understands and agrees as follows:
1. Requester shall maintain the security and integrity of the information received. A violation of DPPA or of any provision set forth
herein, whether by omission or commission, shall be grounds for action by the Department and may result in termination of the
security access code.
2. Requester shall ensure compliance with all security provisions set forth herein. If non-compliance is suspected or confirmed, the
Requester shall immediately notify the Department by telephone at (573) 751-2633. Requester shall prepare and submit within
three business days a written notification of any such non-compliance to the Department at the following address:
MISSOURI DEPARTMENT OF REVENUE, GENERAL COUNSEL, PO BOX 475, JEFFERSON CITY, MO 65105-0475.
3. Requester shall maintain a current list of persons and entities authorized to access Department record information, or to whom
such information may be disclosed. This list shall be available to the Department upon request.
4. Requester shall not use, sell, retain, distribute, provide, or transfer any restricted record information or portion of such information
accessed except as authorized by the Department and as set forth in the DPPA and Missouri law.
5. If Requester resells or discloses personal information covered by the DPPA, Requester must ensure that all recipients of the
requested records are authorized under the DPPA and the recipients understand their responsibilities under DPPA. Requester
must keep, for a period of five years, records identifying each person or entity that receives such information and the permitted
purpose for which the information is to be used, and must make such records available to the Department upon request.
6. Requester understands that Section 302.183.2, RSMo, prohibits the sale of data derived from a person’s driver’s license
application for commercial purposes, which includes purposes motivated primarily by financial gain such as, but not limited to,
surveys, marketing or solicitations, without the express consent of the person to whom such information pertains. Requester shall
not sell personal information for commercial purposes without such consent.
7. The Department reserves the right to audit Requester’s compliance with DPPA. Any such audit shall be performed at reasonable
times and in a reasonable manner as determined by the Department.
8. Requester shall not disclose its Department assigned security access code to anyone other than a Department representative or
an authorized individual who is in the direct employ of Requester.
9. Requester understands that false or misleading statements herein are cause for denial or termination of any access request
Requester authorizes the Director of Revenue, or the Director’s designee, to investigate any matter or statement contained in this
request.
10. Requester understands that according to provisions of the Missouri Revised Statutes and the DPPA, any person holding a
security access code who directly or indirectly obtains information from the Department using false representations or distributes
restricted or confidential information to any person or uses the information for a reason not authorized or specified in this request
is liable, subject to penalty, and may be denied further access.
11. Requester understands that if this request is approved, authorization for DPPA access shall be for a term of one (1) year,
commencing the day and year the security access code is activated, unless otherwise terminated at the sole discretion of the
Department. Requester further understands that this authorization may be renewed for successive one (1) year term(s) upon
further request and upon approval by the Department.
12. Requester understands and agrees that the Department shall not be liable for any damages, including but not limited to actual,
direct, incidental or consequential damages, arising out of or in any way connected with Requester’s access or use of motor
vehicle or driver license record information and that Requester shall indemnify and hold harmless the Department from any claim,
loss, cost or expense, including attorney fees, in relation thereto.
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