Form MV-15 - Request for DMV Records - New York
TOTAL FEE
__________ No record(s) $ ____________
__________ Abstract(s) $ ____________
__________ Application(s) $ ____________
Ticket(s); Summons(es);
__________ Ticket Disposition(s) $ ____________
__________ Suspension/Revocation Order (LIC) $ ____________
__________ Suspension/Revocation Order (REG) $ ____________
__________ Vehicle & Traffic Law Book(s) $ ____________
Insurance Search/
__________ Insurance Activity Expansion report $ ____________
__________ FS Insurance card or FH Certificate $ ____________
Remember to attach a photocopy of your driver license or government-issued photo ID card (you may black out the picture), or have
your signature in STEP 4 notarized.
We need to identify you, the requester. Provide your name and address in STEP 2 for future reference.
Check the box next to each item you are requesting. You may request more than one.
PART A
PART B
Provide as much information as possible about the motorist or vehicle record(s) that you are requesting.
REQUEST FOR DMV RECORDS
STEP 2
Provide the name and the address where the records are to be mailed
.
Read and complete steps 1 - 4. We cannot process incomplete forms (forms that do not have enough information to conduct a
diligent search, that have insufficient fees, or that have no identification). Incomplete forms will be returned.
STEP 1
You must tell us why you want the record(s) that you are requesting. Place a check mark next to each
permissible use that applies for the record(s) that you are requesting. Personal information on certain DMV records
is protected by the Federal Driver’
s Privacy Protection Act (18 U.S.C. 2721 er seq) and also by sections 87 and 89 of the NYS
Public Officer’s Law. Records that pertain to a motor vehicle operator’s license, permit, motor vehicle title, motor vehicle
registration, or identification card issued by DMV are protected by the Driver’s Privacy Protection Act. If you are requesting
only your own record(s), you may skip to STEP 4.
Title abstracts or title application photocopies may contain the names of other individuals. If you are
requesting these documents, you must complete STEP 3.
STEP 3
Sign and print your name. Remember to attach a photocopy of your driver license, government-issued
identification card, or have your signature in STEP 4 notarized.
ACCEPTABLE METHOD OF P
AYMENT: Check or money order payable to the Commissioner of Motor Vehicles (no starter
checks accepted - must have name pre-printed), a DMV search account with information filled in or exempt.
Exempt From Fees
: Government agencies; public officers, boards or bodies; volunteer fire companies; volunteer ambulance
services; legal aid bureaus or societies; or any private entity acting pursuant to NY County Law section 722 are exempt.
NOTE: The search fee must be charged for every search even if no records are found.
Mail your completed MV-15 form, identification, and payment to:
NYS Department of Motor Vehicles
MV-15 Processing
6 Empire State Plaza
Albany NY 12228
STEP 4
FINAL
NOTE
PAGE 1 0F 4
MV-15 (9/15)
DMV OFFICE USE ONLY
STEP 1
Print/Type name and mailing address.
Your File Name or Number:
Amount Received
$
Your return receipt
PLEASE READ THE INSTRUCTIONS BELOW FIRST
REFUND (IF ANY) $
Operator Initials ____________
Date Processed ____________
$
MV-15 (9/15)
Page 1/4
Free Download
Form MV-15 - Request for DMV Records - New York PDF
Favor this template? Just fancy it by voting!
(0 Votes)
0.0
Related Forms
2 Page(s) | 1426 Views | 7 Downloads
4 Page(s) | 1429 Views | 3 Downloads
4 Page(s) | 1123 Views | 0 Downloads
2 Page(s) | 1848 Views | 3 Downloads