Blank Ohio Bmv 1173 PDF Form

Blank Ohio Bmv 1173 PDF Form

The Ohio BMV 1173 Form is a record request form used to obtain driving or vehicle records from the Ohio Bureau of Motor Vehicles. By completing this form, individuals can access important information related to their own records or those of another person, provided they meet the necessary qualifications. To get started on your request, fill out the form by clicking the button below.

The Ohio BMV 1173 form is an essential document for anyone looking to request driving or vehicle records from the Ohio Bureau of Motor Vehicles. This form is structured to collect necessary information from the requester, such as their name, mailing address, and preferred method of receiving the records. It includes sections where individuals can specify whether they are requesting their own records or those of another person, along with the required identifiers like driver's license numbers and vehicle identification numbers. Additionally, the form outlines various types of records available, such as driving record abstracts and vehicle registration details, each with a corresponding fee. It is crucial to complete all sections accurately, as incomplete submissions may be returned. Furthermore, the form provides a list of qualifications for requesting information, ensuring that the requester has the proper authority to access the records. Finally, the form must be signed and dated, affirming that the information provided is truthful and acknowledging the legal responsibilities associated with handling personal data.

Document Sample

OHIO DEPARTMENT OF PUBLIC SAFETY

BUREAU OF MOTOR VEHICLES

OHIO BMV RECORD REQUEST FORM

(Ohio Revised Code [R.C.] 4501.15, 4501.27, & 4507.53)

Complete sections 1-5 of this form and provide check or money order payable to: Ohio Treasurer of State for applicable fees.

Return to: Ohio Bureau of Motor Vehicles, Attn: BMV Records, P.O. Box 16520, Columbus, Ohio 43216-6520. Disclosure of the listed information below is REQUIRED. Failure to complete all sections may result in this form being returned.

SECTION 1

Requesting Person - Provide your full name, mailing address, and choose how the results of your request should be returned.

FULL NAME (REQUIRED)

MAILING ADDRESS (REQUIRED)

COMPANY NAME (If Applicable)

STREET ADDRESS

CITY

STATE

ZIP CODE

PHONE NUMBER

 

 

 

 

E-MAIL (If email address is illegible, invalid, or unverified, the records will be mailed to the above mailing address)

 

How would you like the results of your search returned to you? Choose only one option below. If no mark is present the results will be mailed.

I would like my results emailed as provided

I would like my results mailed to the address above

 

 

 

 

 

 

 

 

 

 

SECTION 2

 

 

 

 

Select one of the following options and provide the applicable identifiers.

 

 

 

 

 

 

 

OPTION 1

I am requesting my driving or vehicle(s) record. (Provide your applicable identifiers below; no name required)

OPTION 2

I am requesting another person’s driving or vehicle(s) record. (Provide the applicable identifiers below)

 

 

 

NOTE: If requesting records on more than 1 person or vehicle, you may attach additional sheet(s):

Check if attaching additional sheet(s)

 

 

 

 

NAME OF OTHER PERSON (If Applicable)

 

 

 

 

 

 

 

OHIO DRIVER LICENSE (If Applicable)

DATE OF BIRTH (If Applicable)

 

SOCIAL SECURITY NUMBER*

 

 

 

OHIO LICENSE PLATE NUMBER (If Applicable)

VEHICLE IDENTIFICATION NUMBER (If Applicable)

OHIO TITLE NUMBER (If Applicable)

 

 

 

 

 

* Social Security number is not required however, to best assist in your search please provide the Ohio BMV with as many identifiers as possible.

SECTION 3

Mark the type of Certified Ohio BMV Record(s) requested below. ($5.00 Fee per Record)

Driving Record Abstract [302] – Provides license class, status, and previous 3 years reported convictions, suspensions, & accident entries.

Last Known Address [405] – Provides the most recent address provided to the Ohio BMV for an individual.

Driver License History [405A] – Provides current and past driver license information to include dates of issuance, endorsements, issuance type, & license cosigner if available.

Driving Record History [302] – Provides license class, driving status, and complete listing of reported convictions, suspensions, & accidents.

Vehicle Registration Record [303] – Provides vehicle owner and vehicle information.

Vehicle Title Record – Provides title number & title status and vehicle owner, previous owner, & lien holder information.

Vehicle Title Record (Historical Chain of Ownership) – Provides list of vehicles titled to an individual or list of owners of a vehicle to include issuance dates.

BMV 1173 11/19 [760-1060] Page 1 of 2

SECTION 4

Qualification for requesting this information under R.C. 4501.27. Check one below.

1. As an individual requesting own record.

2. With written consent of other person. (Attach the original completed, notarized, and signed BMV Notarized Written Consent form 5008)

3. For use in connection with the operation of a private toll transportation facility. (Facility name must be listed in Section 1 of this form)

4. For use by any government agency, including any court or law enforcement agency, in carrying out its functions or any private person or entity acting on behalf of a Federal, State or Local agency in carrying out its functions.

5. Pursuant to an order of a court of this state, another state, the United States, or a political subdivision of this state or another state (a subpoena may be used instead of this form). Attach a certified copy of the court order.

6. For use in connection with matters regarding motor vehicle or driver safety and theft; motor vehicle emissions; motor vehicle product alterations, recalls, or advisories; performance monitoring of motor vehicles, motor vehicle parts, and dealers; motor vehicle market research activities, including, but not limited to, survey research; and removal of non-owner records from the original owner records of motor vehicle manufacturers. Provide relevant documentation supporting your request.

7. For use specifically authorized by law that is related to the operation of a motor vehicle or to public safety. Attach a copy of the relevant statute.

8. For use in connection with a civil, criminal, administrative, or arbitral proceeding in a court or agency of this state, another state, the United States, or a political subdivision of this state or another state or before a self-regulatory body, including, but not limited to, use in connection with the service of process, investigation in anticipation of litigation, or the execution or enforcement of a judgment or order (a subpoena or other court order may be used instead of this form). Provide the court and case number, or if

the case has not yet been filed, the court in which you anticipate to file.

Full Court/Agency Name:

 

Case No.:

9. For use by a licensed private investigative agency or licensed security service for any purpose permitted under division (B) (2) of R.C. 4501.27.

Provide your agency license number:

10. For use in the normal course of business by me as a legitimate business or an agent, employee, or contractor of a legitimate business, for one of the two following purposes: (a) To verify the accuracy of personal information submitted to the business, agent, employee, or contractor by an individual; (b) In case personal information submitted to the business, agent, employee, or contractor by an individual is incorrect or no longer is correct, to obtain the correct information, for the sole purpose of preventing fraud, by pursuing legal remedies against, or recovering on a debt or security interest against, the individual.

Provide your company’s tax ID license number:

11. For use by an employer or by the agent or insurer of an employer to obtain or verify information relating to the holder of a commercial driver license or permit that is required under the "Commercial Motor Vehicle Safety Act of 1986", 100 Stat. 3207-170, 49 U.S.C. 2701, et seq., as now or hereafter amended. If available, a minimum of 10 years of information and any medical card information will be provided.

Provide your company’s tax ID license number:

12. For use in providing notice to the owner of a towed, impounded, immobilized, or forfeited vehicle.

Provide your company’s tax ID license number:

13. For use by an insurer, insurance support organization, or self-insured entity, or by an agent, employee, or contractor of that type of entity, in connection with a claims investigation activity, anti-fraud activity, rating, or underwriting.

Provide your company’s tax ID license number:

SECTION 5

Sign and date.

Pursuant to R.C. 4501.27, I understand that if I receive personal information from the results of this request, I may not disclose that information except as authorized under R.C. 4501.27 and that if I disclose any personal information, I must keep for a period of five years a record that identifies each person or entity that receives any of the personal information and the permitted purpose for which the information is to be used, and I must make all such records available to the Registrar of Motor Vehicles upon request. I understand that any unauthorized disclosure may result in civil penalties and fines.

I hereby certify that all of the information contained on this form is true and accurate to the best of my knowledge and belief. I understand that providing false information may constitute a criminal offense of falsification with a maximum penalty of 6 months in jail and a $1000 fine.

SIGNATURE (REQUIRED)

X

DATE

BMV 1173 11/19 [760-1060] Page 2 of 2

File Specifics

Fact Name Details
Form Purpose The Ohio BMV 1173 form is used to request driving or vehicle records from the Ohio Bureau of Motor Vehicles.
Governing Laws This form is governed by Ohio Revised Code (R.C.) 4501.15, 4501.27, and 4507.53.
Required Sections Sections 1-5 must be completed. Incomplete forms may be returned.
Submission Method Submit the completed form along with a check or money order to the Ohio Treasurer of State.
Disclosure Requirement Disclosure of the requested information is mandatory. Failure to comply may lead to rejection of the request.
Fees A fee of $5.00 is required for each certified record requested.
Signature Requirement The form must be signed and dated by the requester to certify the accuracy of the information provided.

How to Use Ohio Bmv 1173

Filling out the Ohio BMV 1173 form is a straightforward process, but it’s important to complete each section accurately to avoid any delays. Once you have filled out the form, you will need to submit it along with payment to the Ohio Bureau of Motor Vehicles. Follow these steps to ensure your request is processed smoothly.

  1. Section 1: Fill in your full name and mailing address. If applicable, include your company name, street address, city, state, and ZIP code. Provide your phone number and email address. Choose how you would like to receive the results of your request.
  2. Section 2: Select whether you are requesting your own driving or vehicle record or someone else’s. If it’s someone else’s record, provide their name and relevant identifiers such as their Ohio driver license number, date of birth, social security number, license plate number, vehicle identification number, and title number.
  3. Section 3: Mark the type of certified Ohio BMV record you are requesting. Options include driving record abstract, last known address, driver license history, and vehicle registration record, among others. Be aware that there is a $5.00 fee for each record.
  4. Section 4: Check the box that qualifies you for requesting this information. Options include requesting your own record, having written consent from another person, or for use by a government agency, among others. If necessary, attach any required documentation.
  5. Section 5: Sign and date the form. Make sure you understand the disclosure rules and the consequences of providing false information.

After completing the form, make a check or money order payable to the Ohio Treasurer of State for the applicable fees. Mail the form and payment to the Ohio Bureau of Motor Vehicles, Attn: BMV Records, P.O. Box 16520, Columbus, Ohio 43216-6520. Ensure that all sections are filled out completely to prevent your request from being returned.

Your Questions, Answered

What is the Ohio BMV 1173 form?

The Ohio BMV 1173 form is a record request form used to obtain driving or vehicle records from the Ohio Bureau of Motor Vehicles. It is important for individuals seeking their own records or the records of another person, provided they have the necessary consent.

Who can request records using this form?

Any individual can request their own driving or vehicle records. Additionally, records can be requested for another person if the requester has written consent from that individual. Various entities, including government agencies and private investigators, can also request records under specific circumstances.

What information do I need to provide on the form?

You must complete sections 1-5 of the form. This includes your full name, mailing address, and how you would like to receive the results. If requesting records for someone else, you will need to provide their identifying information, such as their Ohio driver license number or vehicle identification number.

What types of records can I request?

The form allows you to request several types of records, including:

  • Driving Record Abstract
  • Last Known Address
  • Driver License History
  • Driving Record History
  • Vehicle Registration Record
  • Vehicle Title Record
  • Historical Chain of Ownership

Each record type has a fee of $5.00.

How do I submit the form?

After completing the form, you should send it along with a check or money order made out to the Ohio Treasurer of State for any applicable fees. Mail it to the Ohio Bureau of Motor Vehicles at the address provided on the form.

What if I need records for multiple people or vehicles?

If you need records for more than one person or vehicle, you can attach additional sheets with the required information for each individual or vehicle. Ensure that each attachment includes the necessary identifiers to process your request effectively.

Is there a fee associated with this request?

Yes, there is a fee of $5.00 for each record requested. This fee must be included with your submission in the form of a check or money order made payable to the Ohio Treasurer of State.

What happens if I do not complete all sections of the form?

It is crucial to complete all sections of the form. If any section is left incomplete, your request may be returned to you, causing delays in obtaining the records you need.

How will I receive the results of my request?

You can choose to receive your results via email or regular mail. If you do not indicate a preference, the results will be sent to your mailing address provided on the form.

What are the consequences of providing false information?

Providing false information on the form can lead to serious consequences, including potential criminal charges for falsification. This can result in fines and possible jail time. It is essential to ensure that all information provided is accurate and truthful.

Common mistakes

  1. Neglecting Required Information: One common mistake is failing to fill out all required sections, especially the full name and mailing address. If these are missing, the form may be returned, delaying your request.

  2. Choosing Multiple Return Options: Selecting more than one method for receiving results can lead to confusion. It's important to mark only one option, or the results will default to being mailed.

  3. Incorrect Identifiers: When requesting someone else's records, providing incorrect identifiers can complicate the process. Ensure that all names, license numbers, and dates of birth are accurate.

  4. Missing Attachments: If you are requesting records for more than one person or vehicle, be sure to attach additional sheets as needed. Failing to do so can result in incomplete processing.

  5. Not Checking Eligibility: It's crucial to check the qualification options in Section 4. Selecting the wrong reason for your request may lead to delays or denial.

  6. Skipping the Signature: Forgetting to sign and date the form is a frequent oversight. Without a signature, the form cannot be processed, so always double-check this step.

  7. Ignoring Payment Instructions: Not including the correct payment method, or forgetting to include it altogether, can halt the processing of your request. Make sure to provide a check or money order made out to the Ohio Treasurer of State.

Documents used along the form

The Ohio BMV 1173 form is essential for requesting driving and vehicle records. When submitting this form, you may also need additional documents to support your request. Below are some commonly used forms and documents that accompany the BMV 1173.

  • BMV 5008 - Notarized Written Consent Form: This form is necessary when requesting another person's records. It must be signed and notarized by the individual whose records are being requested, providing legal consent for the release of that information.
  • Ohio Driver License: A copy of the driver's license may be required to verify identity when requesting your own records or another person's records. This helps ensure that the request is legitimate and authorized.
  • Court Order: If the records are requested under a court order, a certified copy of that order must be submitted. This document serves as legal authorization for the BMV to release the requested information.
  • Tax ID License Number: For businesses or organizations requesting records, providing a tax ID number is often necessary. This helps the BMV verify that the request is made in the course of legitimate business operations.
  • Proof of Employment: If an employer is requesting driving records for a commercial driver, proof of employment may be needed. This ensures that the request complies with regulations governing commercial driving records.

Gathering these documents can streamline the process and help ensure that your request is processed without delays. Always check the specific requirements for your situation to ensure you have everything you need before submitting your request.

Similar forms

The Ohio BMV 1173 form is similar to the DMV Record Request form found in various states across the U.S. Like the Ohio form, these state-specific forms allow individuals to request their driving or vehicle records. Typically, they require personal information such as name, address, and specific identifiers like a driver's license number or vehicle identification number. Each state has its own regulations regarding the disclosure of this information, but the overall structure and purpose remain consistent, facilitating access to vital driving records.

Another document comparable to the Ohio BMV 1173 is the Vehicle Title Request form. This form is utilized to obtain information about a vehicle's title history, including ownership details and any liens. Much like the BMV 1173, it requires the requester to provide identifying information about the vehicle and the individual requesting the title. The purpose of both forms is to ensure that accurate records are maintained for legal and ownership verification.

The Request for Driving Record form is also similar to the Ohio BMV 1173. This form is often used by employers to check the driving history of potential employees, particularly for positions requiring driving. Similar to the BMV 1173, it mandates the provision of personal identifiers and may require consent from the individual whose record is being requested. Both documents serve to promote safety and accountability in driving-related professions.

The Authorization for Release of Information form bears resemblance to the Ohio BMV 1173 as well. This document allows individuals to authorize a third party to access their driving records or vehicle information. It typically requires the same personal details and may also necessitate a signature for consent. This form is essential for individuals who wish to have someone else manage their record requests, mirroring the consent provisions found in the BMV 1173.

The Motor Vehicle Record Request form is another document that shares similarities with the Ohio BMV 1173. This form is often used by insurance companies to obtain driving records for underwriting purposes. Like the BMV 1173, it requires the requester to provide personal information and specific identifiers. Both forms ensure that the information requested is relevant to the individual's driving history and is used for legitimate purposes.

The Driver License History Request form is akin to the Ohio BMV 1173, as it allows individuals to request a detailed history of their driver's license status. This includes information on suspensions, violations, and renewals. Both forms necessitate the submission of personal identifiers and serve the purpose of providing a comprehensive overview of an individual's driving record, which can be important for legal or employment reasons.

The Consent for Release of Driving Record form is similar to the Ohio BMV 1173 in that it allows individuals to give permission for their driving records to be shared with another party. This form typically requires the same identifying information and a signature to confirm consent. The intent behind both documents is to protect personal information while allowing access for legitimate purposes, such as employment or insurance verification.

The Vehicle Registration Request form also shares similarities with the Ohio BMV 1173. This document is used to obtain information about a vehicle's registration status and ownership details. Like the BMV 1173, it requires personal identifiers and is designed to ensure that accurate records are maintained. Both forms play a crucial role in verifying ownership and registration for legal purposes.

The Driving Record Abstract Request form is another document comparable to the Ohio BMV 1173. This form is used to obtain a summary of an individual's driving history, including any infractions or suspensions. It requires similar personal information and identifiers, ensuring that the requester has a legitimate reason for seeking this information. Both forms serve to provide necessary records for various legal and administrative purposes.

Lastly, the Court Order for Driving Record form is similar to the Ohio BMV 1173. This document is used to request driving records through a court order, often in connection with legal proceedings. It requires the same identifying information and may also necessitate additional documentation, such as a certified copy of the court order. Both forms emphasize the importance of legal compliance and the proper handling of personal information.

Dos and Don'ts

When filling out the Ohio BMV 1173 form, adhering to specific guidelines can streamline the process and minimize errors. Below is a list of essential dos and don'ts to keep in mind.

  • Do provide your full name and mailing address in Section 1.
  • Do choose how you want to receive the results of your request.
  • Do ensure all sections are completed to avoid delays.
  • Do attach additional sheets if requesting records for more than one person or vehicle.
  • Don't leave any required fields blank, as this may result in the form being returned.
  • Don't forget to sign and date the form in Section 5.
  • Don't provide false information, as this could lead to serious penalties.
  • Don't forget to include payment for the applicable fees, made out to the Ohio Treasurer of State.

Misconceptions

When it comes to the Ohio BMV 1173 form, there are several misconceptions that can lead to confusion. Here are four common misunderstandings and the truths behind them:

  • Misconception 1: The form can be submitted without completing all sections.
  • In reality, it is essential to fill out all sections of the form. If any section is incomplete, the Ohio Bureau of Motor Vehicles may return the form, causing delays in processing your request.

  • Misconception 2: You can request someone else's driving record without their consent.
  • This is not true. To access another person's driving or vehicle record, you must have their written consent. This requirement is in place to protect individuals' privacy and personal information.

  • Misconception 3: There is no fee associated with requesting records.
  • Actually, there is a fee for obtaining certified Ohio BMV records. Each record requested incurs a charge of $5.00, which must be paid via check or money order made out to the Ohio Treasurer of State.

  • Misconception 4: You can submit the form electronically.
  • The BMV 1173 form must be mailed in. You cannot submit it electronically or via email. Make sure to send it to the specified address to ensure your request is processed correctly.

Key takeaways

When filling out and using the Ohio BMV 1173 form, consider the following key takeaways:

  • Complete All Sections: Ensure that sections 1-5 are filled out completely. Incomplete forms may be returned, delaying your request.
  • Payment Method: Include a check or money order made out to the Ohio Treasurer of State for any applicable fees. This payment is essential for processing your request.
  • Specify Your Request: Clearly indicate whether you are requesting your own record or someone else's. Providing accurate identifiers will facilitate a smoother process.
  • Understand Disclosure Requirements: Be aware of the legal restrictions on sharing personal information obtained through this request. Unauthorized disclosure can lead to significant penalties.