Form Mv-15 - Request For Certified Dmv Records

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REQUEST FOR CERTIFIED DMV RECORDS
INSTRUCTIONS FOR ORDERING YOUR OWN DMV RECORD
To order your own DMV record, but not a title record, use this checklist to complete all of the requirements listed below. (Read about
title records in the note at the bottom of this section.) You must:
____ Provide the name and address of where to send your record(s) in Step
1
.
____ Provide your name, address and signature in Step
2
.
____ Check the box next to each type of record that you want and provide as much search information as possible in Step
.
3
____ Enclose an acceptable form of payment according to the instructions in Step
.
4
____ Include a photocopy of your driver license or government-issued identification card with this request form or have your
signature notarized in Step
.
5
Sometimes, title (vin) abstracts may contain the names of other individuals, so you must check one or more of the permissible uses
NOTE:
that are listed and sign the certification in Step
5
.
INSTRUCTIONS FOR ORDERING ANOTHER PERSON’S DMV RECORD
To order another person’s DMV record, use this checklist to complete all of the requirements listed below. You must:
____ Provide the name and address of where to send the record(s) in Step
1
.
____ Provide your name and address in Step
.
2
____ Check the box next to each type of record that you want and provide as much search information as possible in Step
3
.
____ Enclose an acceptable form of payment according to the instructions in Step
.
4
____ Have one or more of the permissible uses described in Step
. Check all of the permissible uses that apply and sign the certification.
5
____ Include a photocopy of your driver license or government-issued identification card with this request form or have your
signature notarized in Step
.
5
Government Agencies; public officers, boards or bodies; volunteer fire companies and ambulance services; legal aid
Exemption from fees:
bureaus or societies or any private entity acting pursuant to NY County Law § 722 are exempt as long as the Agency identifies themselves,
that the records being requested are for business use, and the records are mailed to the requesting Agency’s business address.
Exemption cannot be used to obtain your own personal records, or V&T Law Books.
MAIL YOUR
completed MV-15 form, payment, and identification to:
DO NOT STAPLE
NYS DEPARTMENT OF MOTOR VEHICLES, MV-15 PROCESSING, 6 EMPIRE STATE PLAZA, ALBANY NY 12228
Your return receipt
STEP
1
DMV OFFICE USE ONLY
$_____
No record ABS___ HIS___ TCK___ SUS___ APP___ INS___
$_____
Abstract(s) Life___
Stnd___
Reg___
Ttl___
$_____
Application
Print/Type name and mailing address where the
$_____
Ticket(s)/Disposition(s)


records will be mailed
$_____
Suspensions/Revocations
Lic___
Reg___
$_____
Insurance Search Activity Report
Name
$
TOTAL FEE
Address1
Address2
$
Amount Received
City,
State,
Zip
$
REFUND (IF ANY)
MV-15 (11/17)
PAGE 1 0F 3

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