Form MV-15C - Request for Driving Record Information - New York
New York State Department of Motor Vehicles
REQUEST FOR DRIVING RECORD INFORMATION
INSTRUCTIONS:
w A separate form, MV-15C, must be used for each search requested.
w You must show documents to prove your identity (see form ID-44 for acceptable proofs of identity).
Driver records contain the following information:
convictions, suspensions, revocations, accidents, accident prevention course completion (for more information, refer to form DS-242.1)
DMV records do not contain the following information:
tickets, address history, convictions and/or accidents beyond their retention period, date first licensed, vehicle information
You can request your record.
You can request another person’s record.
MV-15C (6/13)
FOR OFFICE USE ONLY
Proof of Identification Provided by Requester:
o Driver License/Non-Driver ID Card o Cash o Check o Credit Card
Client ID #
o Other ID (Specify):
Proof of Qualification for a No Fee Abstract:
THE SPACE BELOW THE LINE IS FOR VALIDATION PURPOSES ONLY.
Name of Organization
Claiming Exemption
o Exempt
Purpose of the
Abstract Request
MVR
Signature
Initials
Date
w
The Vehicle and Traffic Law requires that DMV charge a $10 search fee. You must pay the fee even if the driver record is not found.
You can pay the fee with a check made payable to “Commissioner of Motor Vehicles”. According to section 202 of the Vehicle and Traffic Law,
the fee to search a record is not charged to: any public officer, board or body; a volunteer fire company; a volunteer ambulance service; a legal
aid bureau, society or private entity that acts pursuant to Section 722 of the County Law.
If DMV can not find a license record with the information you provide, DMV will send you written notification to advise you that the
requested record was not found.
INFORMATION ABOUT THE DRIVER RECORD YOU REQUEST:
YOUR INFORMATION:
Your Signature (required)
Date
PAGE 1 OF 2
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ç
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CREDIT CARD AUTHORIZATION
My signature authorizes the use of my credit card for payment of any fees in connection with this request. I understand that I must be present for this transaction.
Sign Here ç
(Cardholder-Sign Name in Full)
I request my own record.
(Complete Section A ONLY)
w
w
I request another person’s record. (Complete Section A and Section B).
You must write your initials next to the “permissible use” that applies to your request on Page 2 of this form.
o
o
Sign Here ç
STREET ADDRESS
CITY OR TOWN
STATE
ZIP CODE
SEX
APT. #
DATE OF BIRTH
NAME (Last, First, Middle)
OR
DRIVER LICENSE ID#
M o F o
Month Day Year
SEX
DATE OF BIRTH
M o F o
Month Day Year
A.
B.
NAME (Last, First, Middle)
Date
Page 1/2
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