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The form explains payment requirements, acceptable submission methods, and supporting documents such as a legible driver license copy or notarized signature when mailing. It provides sections for driving record details, motor vehicle identification details, and permissible use authorization, including required initials and the legal basis governing access, retention, and penalties.",{"@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":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/dvs-record-request-form-instructions/308810/",{"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/dvs-record-request-form-instructions/308810.png","ImageObject",300,407,{"name":92,"@type":93},"Mimi","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What information do I need to complete for a driving record request?","Question",{"text":112,"@type":113},"Complete Section A, including the driver’s name and date of birth. Also select the type of copy requested and provide specific details if required.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What details are required for a motor vehicle record request?",{"text":117,"@type":113},"Complete Section B with the Minnesota license plate number, vehicle year and make, and the vehicle identification number (VIN). Then choose the motor vehicle record option and provide any additional requested details.",{"name":119,"@type":110,"acceptedAnswer":120},"How do I authorize permissible use when the requester is not the subject of the record?",{"text":121,"@type":113},"If you are not the subject of the requested record, complete Section D and initial the permissible use options that apply. You must also tell why you are requesting the records and sign the certification as required.","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},308810,1790059210,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"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":52},2336477974920,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","# DVS RECORD REQUEST\n\nPayment must accompany request-Please make check or money order out to:Driver &Vehicle Services.  \no Payments must be made in U.S.dollar amounts.  \no Please DO NOT send cash.  \no If mailing in:Requester is required to include a legible copy of driver license,government issuedidentification card,or notarized signature.  \no For a driving record,complete Section A.  \no For a motor vehicle record,complete Section B.  \no All requestors must complete Section C  \no If you are not the subject of the record being requested you must complete Section D by initialling the appropriatepermissible use.  \n\n| Please Check One Box:  \u003Cbr>□l am requesting a copy of my own record.-Proceed to fillout section A or B and section C.  \u003Cbr>□l am requesting a copy of the record of another person,and I have attached their written consent.  \u003Cbr>□Other-forall other record requests,you must initial at least one permissible use in Section D and complete the additional  \u003Cbr>required information.   |\n| --- |\n\n## A.Driving Record Request:\n\nDriver's Name:Last,First,Middle  \nDate of Birth:  \nCheck all that apply.For multiple records,please attach a multiple record supplement to this request form.  \n□Non-Certified Copy(5-year History-Convictions only)  \n□Certified Copy  \nCertified Copy+Letter to show the date the driver's license wasoriginally issued  \nSpecific details about driving record request:  \n## B.Motor Vehicle Record Request\n\nMinn.License Plate\\#:  \nVehicle Year &Make:       \nVehicle Identification Number:  \n## □Motor Vehicle Record\n\n□Certified Motor Vehicle Record  \n□Title History  \nSpecific details about motor vehicle request:  \nDate of Arrest for Ignition Interlock Reinstatement Request  \nMinnesota DL/ID Number:  \n\n| Payment made out to  \u003Cbr>Driver &Vehicle  \u003Cbr>Services   | Requester  \u003Cbr>IS subject  \u003Cbr>of data   | Requester is  \u003Cbr>NOT subject  \u003Cbr>of data   |\n| --- | --- | --- |\n| Non-Certified Copy  \u003Cbr>(5 year history)   | $9.00   | $9.50   |\n| Certified Copy   | $10.00   | $10.50   |\n| Certified Copy+  \u003Cbr>License Issuance  \u003Cbr>Date Letter   | $10.00   | $10.50   |\n\n\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n\n\n| Payment made out to  \u003Cbr>Driver &Vehicle  \u003Cbr>Services   | Requester  \u003Cbr>IS subject  \u003Cbr>of data   | Requester is  \u003Cbr>NOT subject  \u003Cbr>of data   |\n| --- | --- | --- |\n| Non-Certified Copy   | $9.00   | $9.50   |\n| Certified Copy   | $10.00   | $10.50   |\n| Vehicle Title History   | $1.00 per printed page,in  \u003Cbr>addition to the record  \u003Cbr>fee.   |  |\n\nRemember to attach a photocopy of the requester's driver license,government-issued identification card,or signature must benotarized if submitting by mail.  \nThe Driver Privacy Protection Act(DPPA)is enforced by the U.S.Department of Justice,which may seek civil and criminal penaties for improperlyobtaining,disclosing or using personal information from a motor vehicle record for a purpose not permitted by the DPPA.In addition,private citizensmay also seek civil damages in Federal Court.  \nCertification I(we)certify that the information and statements on this request are true and correct,comply with the provisions of the Federal Driver'sPrivacy Protection Act and understand that the willful,unauthorized disclosure of information obtained from these records for a purpose other thanstated on this request,or the sale or other distribution of the information to a person or organization not disclosed in this request may result in penaltiesimposed under Title 18U.S.C.Section 2724.  \nDate:  \nSignature of Requester/Representative:X                       \nPrinted Name of Requester:                                                                                    \nPrinted Name of Business:                                                                                                  \nEmail Address:                       \nRecordwill not be emailed.This is for con","cbCaihCaDTjPEomQ","https://ap.wps.com/l/cbCaihCaDTjPEomQ","pdf",2136337,"English","# DVS Record Request\n## Payment and submission requirements\n## Section A: Driving Record Request\n## Section B: Motor Vehicle Record Request\n## Record type and fees\n## Certification, privacy act, and legal authority\n## Notary information (if applicable)\n## DVS use only and authorization","[{\"question\":\"What information do I need to complete for a driving record request?\",\"answer\":\"Complete Section A, including the driver’s name and date of birth. Also select the type of copy requested and provide specific details if required.\"},{\"question\":\"What details are required for a motor vehicle record request?\",\"answer\":\"Complete Section B with the Minnesota license plate number, vehicle year and make, and the vehicle identification number (VIN). Then choose the motor vehicle record option and provide any additional requested details.\"},{\"question\":\"How do I authorize permissible use when the requester is not the subject of the record?\",\"answer\":\"If you are not the subject of the requested record, complete Section D and initial the permissible use options that apply. You must also tell why you are requesting the records and sign the certification as required.\"}]","DVS Record Request Form - Instructions | PDF",1789872454]