FREEDOM OF INFORMATION LAW REQUEST FORM
3. Fee Information:
Section 202 of the NYS Vehicle and Traffic Law requires a $10 search fee and a copy fee of $1 per page. You must send a $10 search fee
with your FOIL request, unless you or your organization is exempt from these fees.
Only these groups are exempt from search fees:
•
Government agencies
•
Volunteer fire companies
•
Volunteer ambulance services
•
Public officers, boards, or bodies
•
Legal aid bureaus or societies or other private entities when acting pursuant to §722 of the New York State County Law
4.Method of Payment:
Check the box that shows your payment method. If you pay with a credit card, you must sign on the Authorized Signature line to
authorize DMV to charge your card.
(Check this box ONLY if you belong to one of the exempt groups described in the Fee Information section above.)
Exempt
Check
Money Order
DMV Escrow Account
Credit Card:
MasterCard
Visa
American Express
Discover Card
redit Card Number: ____________________________________________
Expiration Date:_______________________
C
Zip Code Associated with Credit Card: ___________________
Authorized Signature
________________________________________________________________________________
5. Important Information About Requests for Certain DMV Records:
Personal information on certain DMV records is protected by the Federal Driver’s Privacy Protection Act (18 U.S.C. §2721 et seq.) and
by §87 and §89 of the NYS Public Officers Law. Records about a driver license or permit, motor vehicle title, motor vehicle
registration, or identification card issued by DMV are protected by the Driver’s Privacy Protection Act. If any of the records you want
are protected by the Driver’s Privacy Protection Act, you must do the following:
1. Mark your permissible use in the list on page 3 of this form;
2. Send a photocopy of your driver license or government-issued non-driver ID card with this form (you can cover the photo
on the document); and
3. Sign the certification on the bottom of page 3.
MV-FOIL (4/17)
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