Title/Lien
Search Request
Vi
sit us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
DO-22 (R12/19) Page 1 of 4
New Jersey Motor Vehicle Commission
Business & Government Services
P.O. Box 146
Trenton, NJ 08666-0146
609-292-4102
A separate form must be completed for each record requested. You may photocopy this form for your convenience; however, each
request must bear an original signature of the requestor. No other form of request will be accepted. The proper fee(s) must
accompany each request in the form of a check or money order payable to: New Jersey Motor Vehicle Commission. DO NOT
SEND CASH. Please note that the turnaround time is approximately 3-4 weeks. If you have any questions or need to obtain the
status of a request sent by mail, please call 609-292-4102.
ALL APPLICANTS MUST COMPLETE SECTIONS A,B,D OF THIS FORM AND C, IF APPLICABLE.
(Please print clearly)
FEE: $15 PER RECORD SEARCH
SECTION A - Requestor Information
Applicant’s Name:
Your File or Claim #:
Business Name (if applicable):
Phone #:
Street Address:
City:
State:
Zip Code:
Applicant’s Driver License Number:
* Photocopy of your Driver License or a photocopy of a Passport,
Birth Certificate, or any valid state or federally issued ID. If the
name on your enclosed form of identification does not match
your current name, you must include proof of name change.
SECTION B - Information Requested (All fields MUST be completed)
MY OWN RECORD
$15 PER SEARCH
Title
Lien
ANOTHER’S RECORD
$15 PER SEARCH
Title (ex. Court)
Lien (abandoned vehicles/towing)
* If you are conducting a Title search for another person,
you MUST include complete court documentation or Carfax
authorizing your request.
Vehicle / Hull Identification Number (VIN / HIN):
Vehicle / Vessel Model Year:
Vehicle / Vessel Make:
Title/Lien
Search Request
Vi
sit us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
DO-22 (R12/19) Page 2 of 4
PLEASE READ THE BELOW SECTION OF THE NEW JERSEY DRIVER PRIVACY PROTECTION ACT, INITIAL NEXT TO THE PERMITTED
USE(S) THAT APPLY TO YOUR SPECIFIC USE OF THE MVC RECORDS. THEN PROVIDE A WRITTEN EXPLANATION OF THE REASON
FOR YOUR REQUEST AND INTENDED USE OF THE INFORMATION.
USES PERMITTED BY N.J.S.A. 39:2-3.4(c)
______ 1. For use by any government agency including any court or law enforcement agency 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.
If acting on behalf of a government agency, please provide proof of retention.
______ 2. For use in connection with 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 the removal of non-owner records form the original owner records of
motor vehicle manufacturers.
Please include the documentation supporting your request if the information is to be used for motor vehicle emissions, recalls or
advisories, etc.
______ 3. For use in the normal course of business by a legitimate business or its agents, employees or contractors, but only;
a. to verify the accuracy of personal information submitted by the individual to the business or agents, employees or
contractors; and
b. if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the
purposes of preventing fraud by pursuing legal remedies against or recovering on a debt or security interest against the
individual.
Please include a copy of the individual release consent form; a contract; a tow bill; or a repair bill from the repair shop with the
person in question.
______ 4. For use in connection with any civil, criminal, administrative or arbitral proceeding in any Federal, State or Local court or agency
or before any self-regulating body, including service of process, investigation in anticipation of litigation, and the execution or
enforcement of judgments and orders, or pursuant to an order of a Federal, State or Local court.
Please include the docket number and a letter from the client confirming that you have been retained. Please provide an explanation
if no docket number has been assigned. If no docket number is available, please submit the case file number on Attorney letter
head and include a copy of the accident report.
For an abandoned vehicle request, please include photos of the vehicle and VIN as referenced in the Abandoned Vehicle Packet,
steps 8 and 9.
______ 5. For use in educational initiatives, research activities, and for use in producing statistical reports, so long as the personal
information is not published, redisclosed, or used to contact individuals and, in the case of educational initiatives, only to organ
procurement organizations as aggregated, non-identifying information.
Please include a description of the initiative or research on official letterhead
______ 6. For use by any insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or contractors, in
connection with claims investigation activities, antifraud activities, rating or underwriting.
Please include supporting documents for intended use i.e. declaration page.
______ 7. For use in providing notice to the owners of towed or impounded vehicles.
Please include proof of authorization to tow or impound vehicles.
______ 8. For use by an employer or its agent or insurer to obtain or verify information relating to a holder of a commercial driver’s license
that is required under the “Commercial Motor Vehicle Safety Act, “ 49 U.S.C. App. §2710 et seq.
Please include a copy of an individual release consent form, a copy of the insurance policy, and a copy of the agreement if done on
behalf of a client.
______ 9. For use in connection with the operation of private toll transportation facilities.
If your request does not fall under one of the above reasons:
______ 10. For use by any requestor, if the requestor demonstrates it has obtained the notarized written consent of the individual to the
information pertains.
SECTION C Purpose for the Request (required ONLY when requesting another’s record)
Title/Lien
Search Request
Vi
sit us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
DO-22 (R12/19) Page 3 of 4
*Please note: If you selected number 10, a “Notarized Authorization to Release Personal Motor Vehicle
Information” (Form BGS/DO-21A) must be submitted and will not be accepted unless it is acknowledged by a
Notary Public or Attorney at Law.
Explanation of reason
Please explain in detail your reason for requesting this information and how you plan to use it. If involving a lawsuit, please state the
type of lawsuit and your relationship to the case.
Title/Lien
Search Request
Vi
sit us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
DO-22 (R12/19) Page 4 of 4
The disclosure and use of the personal information* contained in the record you have requested is governed by the “New Jersey
Drivers’ Privacy Protection Act” (“NJDPPA”), N.J.S.A. 39:2-3.3 et seq. The NJDPPA provides that a person who knowingly obtains
or discloses information from a motor vehicle record for any use not permitted by the Act is guilty of a crime of the fourth degree and
can be held liable, in a civil action in the Superior Court, to the individual to whom the information pertains, including an award of
actual damages, punitive damages, and reasonable attorney’s fees and litigation costs.
* “Personal Information” means information that identifies an individual, including an individual's photograph; social security number;
driver identification number; name; address other than the five-digit zip code; telephone number; and medical or disability information,
but does not include information on vehicular accidents, driving violations, and driver's status.
I hereby certify that the foregoing statements and submitted supporting documents are true. I understand that if any of the statements
or submitted supporting documents are willfully false, I am subject to punishment. I have read N.J.S.A. 39:2-3.3, et seq. (“NJDPPA”)
and I have initialed all the permitted purposes that apply to my request for online access. I will only use any personal information
contained in records I have requested as permitted by the NJDPPA.
I agree to hold the New Jersey Motor Vehicle Commission (NJMVC) harmless in the event of any errors or omissions in the record
and document(s) furnished under this application.
If I am requesting another’s record, I certify that:
1) Use of the information provided by the NJMVC pursuant to this Application will only be for the purposes
explicitly set forth in this Application;
2) The information provided by the NJMVC pursuant to this Application will not be used for the purpose of
commercial solicitation or marketing, political canvassing or campaigning or any similar purpose or objective,
and I shall not provide such information to any person or entity that seeks to use such information for any of
these purposes;
3) If the information requested is to be used "in anticipation of litigation," pursuant to N.J.S.A. 39:2-3.4(c)4,
personal information will only be used where litigation is imminent or foreseeable, or where the party on
whose behalf the information is obtained has made the conscious decision to prepare a claim or defend
against a probable claim;
4) In the event of a breach of any of the security obligations or other event requiring notification under applicable
law, I shall comply with all applicable State and Federal laws that require notification of individuals in the
event of unauthorized release of Personal Information, or other event requiring notification, and assume
responsibility for informing the NJMVC within twenty four (24) hours and all such appropriate individuals,
including the customer whose information is the subject of the release, in accordance with applicable law
and to indemnify, hold harmless and defend the State of New Jersey from, and against any claims, damages,
or other harm related to such breach or event. All communications must be coordinated with the State of
New Jersey by contacting the NJMVC at 609-341-5777.
________________________________________________ _________________________________________
Signature of Applicant (original signature only - signature Date
stamps are unacceptable)