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It lists exempt purposes for releasing name, address, license/ID, contact details, SSN, medical/disability information, and photos, and requires selection of the applicable exemption number. Part I collects requester details, driving record/address history type, applicable NCDMV fees, and instructions for certification and mailing requests.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/driver-privacy-protection-act-request-form-dppa-1-part-i-request-for-driving-records-dr-address-history/308562/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/driver-privacy-protection-act-request-form-dppa-1-part-i-request-for-driving-records-dr-address-history/308562.png","ImageObject",300,407,{"name":92,"@type":93},"WPS_1786070896","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What personal information does DPPA-1 state must be closed to the public?","Question",{"text":112,"@type":113},"DPPA-1 lists name, address, driver license or ID number, phone number, Social Security Number (SSN), medical and disability information, and photos as information generally closed to the public.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How do I qualify to receive DMV records under DPPA-1?",{"text":117,"@type":113},"Circle the exemption number (1-12) on Side 1 that qualifies you, and certify that you will not re-disclose the information except for the reasons listed on Side 1.",{"name":119,"@type":110,"acceptedAnswer":120},"What does Part I ask for, and how are fees determined?",{"text":121,"@type":113},"Part I requests the driving record/address history type and relevant identification details (NCDL/ID and DOB/SSN or ITIN). Fees are set under NCGS 20-26(c) and NCGS 20-42(b), including certified complete history, certified address history, and uncertified limited options.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},308562,1790012095,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},549768072016,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","NCDMV  \nDriver License Section  \nDriver Privacy Protection Act Request Form (DPPA-1)  \n(To ensure correct processing please read and complete this form carefully)  \nChapter 123, Section 2721 of the U.S. Code (Driver Privacy Protection Act) and N.C. General Statutes 20-43.1 require that personal information in DMV records be closed to the public. This refers to:  \n1. Name  \n2. Address  \n3. Driver License or ID number (also called customer number or control number)  \n4. Phone number*  \n5. Social Security Number (SSN) *  \n6. Medical and Disability Information*  \n7. Photos*  \n* Access to this information is further restricted by various state and federal laws.  \nGeneral Purpose ofDPPA: The Division of Motor Vehicles and any officer, employee, or contractor ofthe DMVshall not knowingly disclose or otherwise make available to any person or entity personal information about any individual obtained by the DMV in connection with a motor vehicle record.  \nPersonal information MAYbe disclosed as follows: (CIRCLE the exemption number below that qualifies you to receive  \nrecords)  \n1. For the applicant's own personal record.  \n2. For use by any government agency in carrying out its function, or for use by any private person or entity acting on behalf of a government agency (List agency name:   )  \n3. For use in matters of 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 survey research, and removal of non-owner records from the original owner records of motor vehicle manufacturers.  \n4. For use in the normal course of business by a legitimate business, but only:  \na. to verify accuracy of personal information submitted by the individual; and  \nb. if information is not correct, to obtain correct information, but only for the purposes of:  \n1) preventing fraud by the individual  \n2) pursuing legal remedies against the individual  \n3) recovering a debt or security interest against the individual  \n5. For use in connection with any civil, criminal, administrative or arbitration proceeding in any federal, state or local court or agency (includes the execution or enforcement of judgments and orders or court orders) .  \n6. For use in research activities and statistical reports, provided that personal information must not be:  \na. published  \nb. redisclosed  \nc. used to contact individuals  \n7. For use by insurance companies in connection with claims investigation, anti-fraud activities, rating or underwriting.  \n8. For use in providing notice to owners of towed or impounded vehicles.  \n9. For use by private investigators or licensed security service for any of the purposes listed herein. (Please circle additional exception and provide NC Private Investigator License \\#   \n10. For use by employers to verify information regarding CDL.  \n11. For use by any requester who has obtained written notarized consent of the individual to whom the information pertains.  \nAttach a copy of the written, notarized consent/DPPA-2 form.  \n12. For use in connection with the operation of private toll transportation facilities.  \nDPPA-1  \nRevised July 3, 2024, previous editions are obsolete DO NOT USE  \nPart I - Request for Driving Records (DR) / Address History  \n(DR)  \nNCDL/ID \\#  \nNCDL/ID \\#  \nNCDL/ID \\#  \nNCDL/ID \\#  \nNCDL/ID \\#  \nNCDL/ID \\#  \nNCDL/ID \\#  \nNCDL/ID \\#  \nNCDL/ID \\#  \nNCDL/ID \\#  \n(If more than 10 DRs are needed, a separate sheet may be attached with all the above information for the additional DRs)  \nPlease indicate the type of DR you are requesting. Fees are set by NCGS 20-26(c) and NCGS 20-42(b) are as followed:  \nCertified Complete History-$18.00  \n(Meets court requirements)  \nCertified Address- $16.75 History  \nUncertified Complete- $12.75  \nHistory  \nUncertified Limited- $12.75  \nHistory (3years)  \nUncertified Limited- $12.75 History (7 years) ","cbCaiqWVf8lRWhB4","https://ap.wps.com/l/cbCaiqWVf8lRWhB4","pdf",380485,"English","# Driver Privacy Protection Act Request Form (DPPA-1)\n## General Purpose of DPPA\n## Personal information disclosure exemptions (1-12)\n## Part I - Request for Driving Records (DR) / Address History\n## Fees and mailing instructions","[{\"question\":\"What personal information does DPPA-1 state must be closed to the public?\",\"answer\":\"DPPA-1 lists name, address, driver license or ID number, phone number, Social Security Number (SSN), medical and disability information, and photos as information generally closed to the public.\"},{\"question\":\"How do I qualify to receive DMV records under DPPA-1?\",\"answer\":\"Circle the exemption number (1-12) on Side 1 that qualifies you, and certify that you will not re-disclose the information except for the reasons listed on Side 1.\"},{\"question\":\"What does Part I ask for, and how are fees determined?\",\"answer\":\"Part I requests the driving record/address history type and relevant identification details (NCDL/ID and DOB/SSN or ITIN). Fees are set under NCGS 20-26(c) and NCGS 20-42(b), including certified complete history, certified address history, and uncertified limited options.\"}]","Driver Privacy Protection Act Request Form (DPPA-1) - Part I - Request for Driving Records (DR) / Address History | PDF",1789869641]