Fillable DIRECTIONS FOR FILING FORM FI-17REPORT OF UNAUTHORIZED USE (New York State)

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DIRECTIONS FOR FILING FORM FI-17REPORT OF UNAUTHORIZED USE (New York State)

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DIVISION OF FIELD INVESTIGATION
DIRECTIONS FOR FILING FORM FI-17“REPORT OF
UNAUTHORIZED USE OF LICENSE/REGISTRATION”
Please read all of the following directions CAREFULLY BEFORE filing an FI-17 with DMV.
DMV’S DIVISION OF FIELD INVESTIGATION HANDLES COMPLAINTS REGARDING
THE MISUSE OF DOCUMENTS ISSUED BY NYSDMV.
1. If your driver’s license or non-driver ID card has been used to commit a crime such as fraudulent credit card
use, or to fraudulently obtain bank checks and passports, you should first:
� file a report with your local law enforcement agency.
� notify your bank or other financial institutions.
� keep a record or journal of your actions regarding the loss (for example, any police agency you reported the loss
to, detectives who may be working on the reported loss, etc.).
�
submit a Report of Unauthorized Use of License/Registration (FI-17) with all pertinent evidence that you
have collected concerning the alleged criminal activity.
2. If you have been contacted about a registration that you do not know anything about:
� submit a Report of Unauthorized Use of License/Registration (FI-17) to the Division of Field Investigation of DMV.
� if outstanding parking tickets are involved, you may want to request a hearing by contacting the Parking
Violations Bureau that issued the notice to you.
Any evidence that has been gathered from the above actions should be forwarded to us when you file your Report of
Unauthorized Use of License/Registration (FI-17).
OTHER IDENTITY ISSUES SHOULD BE HANDLED AS EXPLAINED BELOW.
1. If you are disputing traffic tickets issued in your name:
� please answer the outstanding tickets in the appropriate court (if the tickets are dismissed, the dismissals will
provide evidence needed to proceed with a possible investigation).
� if you know who committed the offenses you are being charged with, file criminal charges against them with
your local law enforcement agency.
2. If you have been notified that your license is being suspended because of “Default Convictions” on your record:
� please contact DMV’s Traffic Violations Bureau at (518) 474-0941; NYC and Long Island motorists should
call (718) 488-5710.
� ask for an “Application to Reopen Default Convictions” (DMV Form AA-3.3). This should be filed through
DMV’s Traffic Violations Bureau. (If the tickets are dismissed, they may also be used as evidence for any
investigation we conduct.)
3. If you have been notified about an accident in which you were NOT involved:
� you may request a copy of the Police Accident Report (DMVForm MV-198C). The fee for this report is $10
(search fee) plus $15 per copy. Please return to the address listed on form.
� you may request a hearing (non-involvement only) through DMV’s Certified Document Center by calling 518-474-5630.
If, as a result of the above actions, you discover that your NYS DMV documents have been used fraudulently, please
send an FI-17 along with any evidence you have.
If you have any questions about the Report of Unauthorized Use of License/Registration (FI-17), please call the NYS DMV
Division of Field Investigation Tuesday, Wednesday, or Thursday, from 9:00 a.m. to 4:00 p.m. at (518) 473-6464.
FI-17I (3/16)
dmv.ny.gov
REPORT OF UNAUTHORIZED
USE OF LICENSE/REGISTRATION
DIVISION OF FIELD INVESTIGATION
ATTACH
PHOTOGRAPH
HERE
FILING A FALSE REPORT IS A CRIME.
Violators will be prosecuted under the New York State Penal Law.
IMPORTANT NOTICE: This form gives the investigators of the Department of Motor Vehicles permission to conduct an investigation of
your complaint. The information you provide on this form will be evaluated along with any other facts gathered during the course of the
investigation. The results of the investigation will be based on the available evidence and in accordance with law.
SECTION 1: INSTRUCTIONS
1. Read this complaint form carefully. Fill out all applicable items.
2. Attach a passport-sized photograph and a copy of your driver license.
3. Attach copies of all pertinent documents that will assist in the investigation of your complaint (police reports, parking tickets, traffic
tickets, correspondence and other material relating to the misuse of your identity).
4. After completing this form, please send it and any attachments to:
Department of Motor Vehicles
Division of Field Investigation
6 Empire State Plaza
Albany NY 12228
SECTION 2: BIOGRAPHICAL INFORMATION
Last Name
First Middle Initial Date of Birth
/ /
Sex Social Security Number
Mailing Address (Include Street Number and Name, Rural Delivery, Box No., and/or Apt. No.)
Driver License ID Number
City State Zip Code Phone (Area Code)
Home: ( ) Business ( )
Place of Birth (City, County, State)
SECTION 3: IDENTIFYING AND DESCRIBING YOUR PROBLEM
WHAT ARE YOU REPORTING/DISPUTING? (Please check all boxes that apply)
Lost Driver License/Non-Driver ID Card Stolen Driver License/Non-Driver ID Card
Traffic tickets
Vehicle registrations
Accidents
Parking tickets
Other
Vehicle ownership
Briefly explain the situation you are reporting, and how it relates to your driver license and/or registration:
A. Have you ever had a driver license in any other state or country? Yes No If “Yes”, where?
B. Did you report your situation to the police? Yes No If so, when? (Please attach report.)
C. Do you suspect a person or business may be using your personal information? Yes No If “Yes” explain:
FI-17 (2/15)
PAGE 1 OF 2
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D. Have you ever given permission to anyone to register a vehicle in your name? Yes No If “Yes”, explain:
E. Has a vehicle been registered in your name without your permission? Yes No
Please list all disputed vehicles and plate numbers:
F. Have you ever received a Certificate of Title for a vehicle you do not own? Yes No (If “Yes”, please attach the title.)
1. List your addresses for the past ten years, with the dates you lived at each address:
Address Date From Date To
2. List all vehicles you have owned in the last ten years. Provide the plate number, year and make of those vehicles:
Plate Number
SECTION 4: NOTARIZATION
Year/Make Plate Number Year/Make
Read the following statement, then sign below and have the statement notarized. We will not begin an investigation until this report is signed
and notarized.
FALSE STATEMENTS MADE IN THIS REPORT ARE PUNISHABLE AS A CRIME
IN ACCORDANCE WITH THE NEW YORK STATE PENAL LAW.
X
(Signature)
SWORN TO BEFORE ME
THIS DAY OF IN THE YEAR OF .
NOTARY PUBLIC NUMBER
FI-17 (2/15)
PAGE 2 OF 2
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DIRECTIONS FOR FILING FORM FI-17REPORT OF UNAUTHORIZED USE (New York State)

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Completed 15 October 2021

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