Form MV-15D - Motor Vehicle Record Search Account Application - New York
City: __________________________________________________ State:_________ Zip Code:____________________
Telephone: _______ - _______ - __________ Ext. ____________ Fax: _______ - _______- __________
Email Address: ____________________________________________________________________________________
Federal Employer ID Number:
Please describe in detail how you plan to use the information from searches of DMV’s records:
If DMV has ever terminated a search account held by you, your organization, or any principal, agent, officer or
employee associated with your organization, please provide the account number(s):
MOTOR VEHICLE RECORD
SEARCH ACCOUNT APPLICATION
u Before you begin, please review the Terms of Service on page 3.
u If you are opening a new account for a commercial or not-for-profit organization, attach an opening deposit. The
deposit amount should fund your estimated usage for two months. Electronic searches are $7 each. Mail order searches
are $10 or more, depending on what kinds of certified documents you request. Please make your check or money order
payable to “Commissioner of Motor Vehicles”.
u If you represent a commercial or not-for-profit organization (including volunteer fire companies and volunteer
include a certified copy of your business certificate.
u Send the form to: DATA SERVICES - NEW SEARCH ACCOUNT
NYS DEPARTMENT OF MOTOR VEHICLES
6 EMPIRE STATE PLAZA
ALBANY NY 12228
Please mark one of the following boxes to indicate which service you are requesting:
o Open new account
o Update information for an existing account. DMV will need your account number to process any changes.
PAGE 1 OF 4
Email: [email protected]
(Please Print or Type)
Applicant’s Driver License Number: _________ - _________ - _________ State/Province: ______________________
and you will be using the information obtained for a public purpose, complete the Fee Exemption Certification on
page 4 to claim the exemption from search fees under Section 202 of the New York State Vehicle and Traffic Law.
You must also provide evidence of your government employment or your affiliation with the exempt
organization, such as a pay stub or an official letter from the organization.
u If you are opening a new account for a:
u government organization;
u volunteer fire company;
u volunteer ambulance service;
u legal aid bureau or society or other private
entity when acting pursuant to Section 722 of
the New York State County Law;
(DO NOT GIVE P.O. BOX)
Form MV-15D - Motor Vehicle Record Search Account Application - New York PDF
Favor this template? Just fancy it by voting!
4 Page(s) | 1122 Views | 0 Downloads
7 Page(s) | 2069 Views | 3 Downloads
2 Page(s) | 1847 Views | 3 Downloads
4 Page(s) | 1410 Views | 1 Downloads
3 Page(s) | 1063 Views | 0 Downloads