The Texas Department of Public Safety may disclose personal information to a requestor without written consent of the DL/ID holder, on proof of their
identity and a certification by the requestor that the use of the personal information is authorized under state and federal law and that the information will
be used onlyforthe purpose stated and in complete compliance with state and federal law.
You must meet one or more of the following exceptions if you do not have written consent of the DL/ID holder to
be entitled to receive personal information on the above named
individual.
Please initial each category that
applies to the requested driver record.
1. For use
in connection with any matter of (a) motor vehicle or motor vehicle operator safety; (b) motor vehicle theft;
(C)
motor vehicle emissions; (d) motor vehicle product alterations, recalls, or advisories; (e) performance monitoring of
motor vehicles or motor vehicle dealers by a motor vehicle manufacturer; or (f) removal of nonowner records from
the original owner records of a motor vehicle manufacturer to carry out the purposes of the Automobile Information
Disclosure Act, the Anti Car Theft Act of 1992, the Clean Air Act, and any other statute or regulation enacted or
adopted under or in relation to a law included in the above.
2. For use by a government agency in carrying out its functions or a private entity acting on behalf of a government
agency in carrying out its functions.
3. For use in connection with a matter of (a) motor vehicle or motor vehicle operator safety; (b) motor vehicle theft; (c)
motor vehicle product alterations, recalls, or advisories; (d) performance monitoring of motor vehicles, motor vehicle
parts, or motor vehicle dealers; (e) motor vehicle market research activities, including survey research; or (f) removal
of nonowner records from the original owner records of motor vehicle manufacturers.
4. For use in the normal course of business by a legitimate business or an authorized agent of the business, but only to
verify the accuracy of personal information submitted by the individual to the business or the authorized agent of the
business and to obtain correct information if the submitted information is incorrect to prevent fraud by pursuing a
legal remedy against, or recovering on a debt or security interest against the individual.
5. For use in conjunction with a civil, criminal, administrative, or arbitral proceeding in any court or government agency
or before any self regulatory body, including service of process, investigation in anticipation of litigation, execution or
enforcement ofajudgment or order, or under an order of any court.
6. For use in research or in producing statistical reports, but only if the personal information is not published,
redisclosed, or used to contact any individual.
7. For use by an insurer or insurance support organization, or by a self insured entity, or an authorized agent of the
entity, in connection with claims investigation activities, antifraud activities, rating or underwriting.
8. For use in providing notice to an owner of a towed or impounded vehicle.
9. For use by a licensed private investigator agency or licensed security service for a purpose permitted as stated on
this page.
10. For use by an employer or an authorized agent or insurer of the employer to obtain or verify information relating to a
holder of a commercial driver license that is required under 49 U.S.C. Chapter 313.
11. For use in connection with the operation of a private toll transportation facility.
12. For use by a consumer-reporting agency as defined by the Fair Credit Reporting Act (15 U.S.C. §1681 et seq.) for a
purpose permitted underthe Act.
13. For any other purpose specifically authorized by law that relates to the operation of a motor vehicle or to public safety.
Please state specific statutory authority_____________________________________________
14. For use in the preventing, detecting, or protecting against identity theft or other acts of fraud. The Department prior to
release of personal information may require additional information.