Voter registration or the administration of elections by the secretary of state.
License Number: __
Motor vehicle safety or motor vehicle operator safety.
Motor vehicle theft.
Motor vehicle emissions.
Motor vehicle product alterations, recalls or advisories.
Performance monitoring of motor vehicles, motor
vehicle parts, or motor vehicle dealers.
Motor vehicle market research activities, including survey research.
Removal of non-owner records from the original owner records of a motor
vehicle manufacturer to carry out the purposes
of the Automobile Information Disclosure Act, the Anti
Car Theft Act of 1992, and the Clean Air Act.
For child support enforcement.
Enforcement by the Texas
Workforce Commission.
_______________________)
_____ _
1. I am the current recorded owner or lienholder of the vehicle;
2 . Written authorization is attached from the person(s) listed as the recorded owner, lienholder or previous owner; or
3 . My authority to obtain vehicle information is for the permitted use noted below. I understand the use of the requested information is
strictly limited to:
A govern
ment agency, including any court or law enforcement agency, in carrying out its functions.
A private person or entity acting on behalf of a government agency in carrying out the functions of the agency.
A
______
_____ _
____
______
Li
cen
se Number: _________________________)
_____ _
License Number: __________________________)
___ ___
___ ___
Request for Texas Motor Vehicle Information
Permitted Use – Sign or print your initials on the appropriate line for your use of the requested information.
Choose one of the following options.
governmental entity, including law enforcement
(check
applicable box):
Use in connection with one of the following (check
applicable box):
Use in the normal course of business by a legitimate business or its authorized agent, but only to verify accuracy of personal
information submitted by the individual; and, if the information is not correct, to obtain the correct information for the sole
purpose of preventing fraud by, pursuing a legal remedy against or recovering on a debt or security interest against the
individual. (Requestor must submit the information to be verified against the department’s records.)
_
_
In conjunction with a civil, criminal, administrative or arbitral proceeding in any court or government agency or before any
self-regulatory body, including service of process, investigation in anticipation of litigation, execution or enforcement of a
judgment or order, or under an order of any court. (Requestor must submit proof of legal proceeding or proof of anticipated
proceeding.)
Use in research or in producing statistical reports, but only if the personal information is NOT published, redisclosed, or used
to contact any individual. (Requestor must submit proof of employment in a research occupation.)
Use by an insurer or insurance support organization, a self-i
nsured entity or as an authorized agent of the entity in connection
with claims investigation activities, antifraud activities, rating or underwriting. (Requestor must submit a license number
provided by the Texas Department of Insurance or out-of-state equivalent, a license number the insurance support organization
is working
under, or proof of self-insurance.
Use in providing notice to an owner
of a towed or impounded
vehicle.
(Requestor must submit a license number provided by
the Texas Department of Licensing and R
egulation or out-of-state equivalent.
Use by a licensed private investigation
agency or licensed security service authorized to use the information for a
permitted
purpose. (Requestor must submit a license number provided by the Texas Department of Public Safety or out-of-state
equivalent.
Use in connection with the operation of a private toll transportation
facility.
(Requestor must submit documentation to relate
the requested personal information with operation of a private toll transportation facility.)
Use by a consumer reporting agency, as
defined by the Fair Credit Reporting Act, for a purpose permitted under that Act.
(Requestor must
submit documentation on official letterhead indicating a permitted use
for personal information as defined
by the Fair Credit Reporting Act.)
Resale and Redisclosure
Motor vehicle record information obtained by an authorized recipient for a permitted use may not be resold or redisclosed unl ess the
information is provided to other authorized recipients and used only for the permitted use. Information obtained as a result of this
request may not be resold or redisclosed in the same or substantially identical format as it is received from the TxDMV. Any original
recipient is responsible for misuse of the motor vehicles records, regardless if they approved or were aware of subsequent transfers of
the information.
An authorized recipient who resells or rediscloses motor vehicle records is required to maintain records of that transaction for a period of
not less than five years. The department has the authority to request and review records kept by all authorized recipients. For further
information regarding resale and redisclosure requirements, refer to the Texas Administrative Code, Rule §§217.127 and 217.128.
Form VTR-275 Rev. 8/2018 Form av
ailable online at www.TxDMV.gov Page 2 of 2
