Central Services Records Section
555 Wright Way
Carson City, Nevada 89711-0250
(775) 684 - 4590
www.dmvnv.com
ACCOUNT PACKAGE INSTRUCTIONS
The Department of Motor Vehicles is authorized to maintain an information reporting service for
driver’s license and vehicle registration/title records.
Pursuant to NRS 481.063 Nevada law requires all requesters applying for an account, meet the
following criteria:
•
Complete, sign and date application.
•
Complete, sign, date and have notarized affidavit stating understanding of Nevada
Revised Statute 481.063 (IR-003).
•
Mail completed application, affidavit, and required documents to the Records Section.
Required Documents, if applicable:
•
Copy of current Business or State License.
•
Copy of Private Investigators License.
•
Copy of Documents showing Licensed Attorney.
•
National Association Insurance Code (NAIC) number
•
Articles of Incorporation
•
Letter of Authorization (For 3rd party business, 3 letters of reference are needed).
Governmental Agencies:
•
Include the following statement on letterhead “The information obtained will be used
solely for carrying out official functions”.
Upon receipt of the application by the Records Section, your request will be reviewed, and you will be
notified by letter of approval or denial of your request. Upon approval, you will be given your assigned
account number. This number is to be used for identification purposes whenever service is requested.
Account payments are due within 21 days from the date of the billing statement.
Enclosed is an application, affidavit, guidelines and fee schedule for your use and information. Any
questions regarding the requesting of Department information may be directed to the Records
Section in writing at the above address, by telephone at (775) 684-4590 or through our website at
www.dmvnv.com
IR007 (05/2012)
Central Services Record Section
555 Wright Way
Carson City, Nevada 89711-0250
(775) 684 - 4590
www.dmvnv.com
APPLICATION FOR RECORDS ACCOUNT
1.
Corporation/Business Name:
2.
DBA: (if applicable)
3.
Business Name As Appears on Business License:
4.
Federal Employer Identification Number (FEIN):
5.
Business Type:
Corporation
Individual
LLC
LLP
Government Entity
Other
6.
Incorporation Effective Date:
7.
Incorporation State:
dd/mm/yyyy
Full Legal Name of Owners/Corporate Officers/Appointing Authority for Government Entities (if additional
lines are needed, please attach a separate document):
Last Name
First Name
M.I. Title (Check One)
Phone Number
Corporate Officer
Manager
Owner
Other ___________
Corporate Officer
Manager
Owner
Other ___________
(
)
-
(
)
-
8.
Business Physical Address
Address
Business Mailing Address
City
State
Zip
9.
Address
Web Address:
City
State
Zip
10.
11.
Business Fax Number
(
)
-
12.
Primary Point of Contact:
13.
Name
Secondary Point of Contact:
14.
Name
Accounts Payable Name (if applicable):
15.
Name
IT Contact Name
16.
Name & Email Address
NAIC NUMBER (Insurance)
17.
Type of business:
(
)
Phone Number
(
)
Phone Number
(
)
Phone Number
(
)
Phone Number
18.
List Specific Information Requested (see guidelines for Records inquiries IR-005) use additional sheet if
necessary:
19.
Reason/need for information:
20.
How will information be used:
21.
22a.
Previous Nevada DMV Records Account?
Yes
No
If yes, under what name?
Account Number?
When?
I hereby certify the above information is true and correct, and the information obtained will be used for the
purpose stated above and in accordance with the Drivers Privacy Protection Act and NRS 481.063.
It is further agreed payment on this account will be made within twenty-one (21) days of the billing date and, if
required, a bond insuring payment of the account will be posted.
Signature of Owner/Corporate Officer
Printed Name of Owner/Corporate Officer
22b.
Date
Title
_____________________________________________________________________________
Signature of Primary Point of Contact
Title
Date
Printed Name of Primary Point of Contact
22c.
Title
Title
_____________________________________________________________________________
Signature of Secondary Point of Contact
Title
Date
Printed Name of Secondary Point of Contact
Title
Please note: Payment in full is due at the time record requests are submitted, except for requests charged to a Records
Account. Monthly invoices will be issued for Records accounts and payment in full is due within 21 days of the billing date. If
your account is suspended for non-payment, you will be required to pay not only the past due amount, but any current invoice
amounts before any further business can be conducted with the Department. In addition, per NRS 353C, your account will be
turned over to a private collection agency. Accounts referred for private collection may be required to pay a private collection
fee. Accounts referred to the collection agency will remain suspended until proper notification of payment in full is received
directly from the collection agency.
Account No. _________________
IR001 (5/2012)
____________________________________________________________________________________________
OFFICE USE ONLY
Reviewed by_____________________________________________________________Date_________________
Denied_________________Accepted_________________Pending________________Updated_______________
Comments___________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Reviewed by_____________________________________________________________Date_________________
Denied_________________Accepted_________________Pending________________Updated_______________
Comments___________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Account No. _________________
IR001 (5/2012)
Instructions - Application for Records Account (IR001)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18
19.
20.
21.
22.
FORM
IR003
Official legal business name or name of corporation (all corporation types, LLC’s, LLP’s)
“Doing Business As” Name
Business Name as it appears on your business license (if other than #1 or #2)
Federal Employee Identification Number or N/A if your business is a sole proprietorship and does not
have an FEIN
Check the applicable business type
• Corporation = All corporation types (S. Corp, Publicly Traded Corp, Privately Held Corp)
• Individual = Sole proprietorships and unincorporated partnerships
• LLC = Limited Liability Company
• LLP = Limited Liability Partnership
• Governmental Entity = City, County, State, and Federal entities
• Other = Any business entity not listed above
Incorporation Effective Date = Date of Incorporation for all corp types and/or date of formation for LLC’s
and LLP’s
Incorporation State = State of incorporation for all corp types and/or state of formation for LLC’s and
LLP’s
Full Legal Names, Titles, and Phone Numbers for:
Corporations of all types = Corporate Officers
Individual = Names of Sole Proprietors/Unincorporated partnerships
LLC = Managing Members/Members/Officers
LLP = Managing Partners/Partners
Governmental Entity = Director, Agency Head, Appointing Authority, etc.
Other = Responsible party(s)
Business Physical Address
Business Mailing Address
Web Address (official URL for business website)
Fax Number: Business Fax Number for sending/receiving record requests
Primary Point of Contact has the authority to make changes to the account, add or delete users, and receive
information.
Secondary Point of Contact has the same authority as the Primary Point of Contact, once appointed by the
owner or primary point of contact
Accounts Payable Name has permission to receive billing information only.
IT Contact Name is the information technology person with the authority to communicate with us for
programming purposes only.
NAIC Number: 5 digit number given to insurance companies/reps by the National Association of
Insurance Commissioners.
Type of Business (i.e., Insurance company, auto repair, tow company, attorney, etc.)
List specific information requested (i.e., D1, D3, V3, S4, etc.). Refer to guidelines for Records inquiries
IR-005. Or explain in detail what you need (i.e., title history, drive history, certified documents, letter to
get title in another state, proof my car was registered in Nevada, etc.). Use additional sheet if necessary.
Provide specific details on why information is needed.
Provide specific details on how the information you receive from DMV will be used.
Check No if you/your business has not previously had an account with Nevada DMV Records.
Check Yes if you/your business has previously had an account and answer the subsequent questions.
Box 22a must be signed by one owner/corporate officer. Box 22b must be signed by the Primary. Box 22c
must be signed by the Secondary. Printed names are also required for all signatories.
Form IR003 must also be completed.
Corporation, Individual, LLC, or LLP: Affidavit must be signed by one owner/corporate officer.
Governmental entity or Other: Affidavit must be signed by responsible party .
AUTHORIZED USER’S LIST
No changes from previous year’s Authorized User’s List
Account Name_______________________________________________________________________________
(Please Check) Account Privileges
Account Payable
Add
Delete
IT Contacts
User
All
Name_________________________________Phone No_________________________
(Please Check) Account Privileges
Account Payable
Add
Delete
IT Contacts
User
All
Name_________________________________Phone No_________________________
(Please Check) Account Privileges
Account Payable
Add
Delete
IT Contacts
User
All
Name_________________________________Phone No_________________________
(Please Check) Account Privileges
Account Payable
Add
Delete
IT Contacts
User
All
Name_________________________________Phone No_________________________
(Please Check) Account Privileges
Account Payable
Add
Delete
IT Contacts
User
All
Name_________________________________Phone No_________________________
_________________________________________________________________________________________________
SIGNATURE OF POINT OF CONTACT/OWNER/CORPORATE OFFICER
DATE
Payment in full is due at the time record requests are submitted, except for requests charged to a Records Account.
Monthly invoices will be issued for Records accounts and payment in full is due within 21 days of the billing date. If your
account is suspended for non-payment, you will be required to pay not only the past due amount, but any current invoice
amounts before any further business can be conducted with the Department. In addition, per NRS 353C, your account
will be turned over to a private collection agency. Accounts referred for private collection may be required to pay a private
collection fee. Accounts referred to the collection agency will remain suspended until proper notification of payment in full
is received directly from the collection agency.
An updated authorized users list must be submitted when an authorized user leaves or is hired.
Primary Point of Contact has the authority to make changes to the account, add or delete users and receive information.
Secondary Point of Contact has the same authority as the Primary Point of Contact, once appointed by the Primary
Point of Contact.
Authorized User has permission to obtain information on the account’s behalf, based on account privileges.
Accounts payable has permission to receive billing information.
IT Contact is your information technology person we communicate with for programming issues only.
ACCOUNT NO._________________
IR019 (05/2012)
Central Services Records Section
555 Wright Way
Carson City, Nevada 89711-0250
(775) 684 - 4590
www.dmvnv.com
State of ________________
)
)§
County of _______________
)
AFFIDAVIT
Being first duly sworn under penalty of perjury I hereby state:
(a)
I have read, fully understand and agree to abide by the laws and regulations now in effect and hereinafter enacted or adopted
regarding the manner in which personal information from the Department of Motor Vehicles driver’s license , registration files
and records may be obtained and the limited uses which are permitted;
(b)
I understand that any sale or disclosure of information so obtained must be in accordance with the provisions of this section. Specifically,
that I must keep records of such sale or disclosure for five years for department inspection, and that such sale or disclosure may only be for
a use permitted under law;
(c)
I understand that a record will be maintained by the department of any information which I request;
(d)
I understand that a violation of the provisions of NRS 481.063 and NRS 485.316 is a criminal offense. Specifically, that it is
unlawful to make a false representation to obtain any information from the Department, or to knowingly obtain or disclose any
information from the files or records of the department for any use not permitted by the provisions of this chapter.
(e)
The agency shall keep all data, information, reports, tests, manuals, instructions, plans, system designs, computer codes, and
any documents or drawings received from the State of Nevada, Department of Motor Vehicles (“Department”), or created by
the agency as necessary to render performance under this Agreement, strictly confidential. Except for the sharing of
information among law enforcement agencies for law enforcement purposes, the agency agrees that it may not disclose any of
the aforementioned items to a person who is not a party to this agreement absent the express written consent of the
Department. The agency further understands and agrees that the Department may be required to disclose, in certain
instances, some of the above items in compliance with Nevada Public Records Law, and these instances do not change the
obligations of the agency to maintain confidentiality as set out above.
The confidential items, as set out above, specifically include, but are not limited to, the following items:
1) Information regarding security passwords, security access codes, and security programs; access codes for software
applications; and security procedures, processes, and recovery plans.
2) Specific data collected in preparation of or essential to the Department’s business.
3) Security testing results, especially if the results identify specific system vulnerabilities.
The agency also agrees and understands that this confidentiality provision’s purpose is to prevent public disclosure that may
have an impact on public safety or security, including but not limited to security of personal information. In addition to any other
indemnification agreements contained in this Affidavit, The agency further agrees to indemnify, hold harmless, and defend the
Department from and against all liability, claims, actions, damages, losses, and expenses, including, without limitation,
reasonable attorneys’ fees and costs, based on the agencies release of the aforementioned items. If the agency must disclose
some of the above items to a third party, the agency shall obtain the written consent of the Department and the third party
must agree, in writing, to the terms of this provision. The terms of this provision shall survive the completion of performance
under this Agreement and/or the termination of this Agreement.
I attest to the fact that I am an authorized representative of the requesting agency. I declare under penalty of perjury that the
foregoing is true and correct.
DATED this _________ day of __________________, (20 __ )
____________________________________________________________________________________________________
Signature of Applicant
Printed Name and Title (if applicable) of Applicant
Signed and sworn to before me this
_________ day of __________________, (20 __ )
By _____________________________________________
________________________________________________
NOTARY Public or Authorized Nevada DMV Representative
IR003 (05/2012)
_______________________________________________
(Notary Seal)
Central Services Record Section
555 Wright Way
Carson City, Nevada 89711-0250
(775) 684 – 4590
www,dmvnv.com
GUIDELINES AND FEES FOR RECORD INQUIRIES
This guide is for the most effective use of Nevada records facilities. If you provide us with certain basic information, a
record search can be accomplished in a very short period of time.
Identifiers for driver’s license inquiries are:
Driver’s License Number
Social Security Number
Name, Date of Birth and address
Identifiers for registration/title inquiries are:
Vehicle Identification Number (VIN)
Registered Owner’s Name and address
D1
DRIVER LICENSE INFORMATION – provides information shown on the front of the driver’s license. Fee: $5.00
D2
DRIVER RECORD INFORMATION – provides information shown on the front of the driver’s license and
convictions for the past three years. Fee: $7.00
D3
DRIVER LICENSE CLEARANCE LETTER – states Nevada record is clear to obtain a drivers license in other
states. Fee: $6.00
V1
VEHICLE REGISTRATION INFORMATION – provides the year, make, model, expiration date and registered
owner’s name and address. Fee: $5.00
V2
VEHICLE TITLE INFORMATION – provides owner(s) name and address, and/or lienholder(s), name and
address, title number, and date title was created. Fee: $5.00
V3 (a) REGISTRATION HISTORY Fee: $7.00
V3 (b) TITLE HISTORY Fee: $7.00 - plus any additional research (S3) $3.00 per page includes front and back.
S2
CERTIFICATION OF DOCUMENTS Fee: $4.00
S3
Research Fee: $3.00 per page includes front and back.
S4
TITLE VERIFICATION LETTER – states no Nevada title has been issued to a specific vehicle. Fee: $7.00
Social Security Numbers are not released. License plate numbers are not released, nor can information be obtained by
the presentation of a license plate number; except to law enforcement agencies, governmental agencies processing
parking violations, vehicle insurance companies, public administrators, public guardians, public defenders and private
investigators. No information will be released when multiple listings are found on a search by name only where no positive
match can be established.
Please make checks payable to the Department of Motor Vehicles, RECORDS SECTION.
Payment in full is due at the time record requests are submitted, except for requests charged to a Records Account.
Monthly invoices will be issued for Records Accounts and payment in full is due within 21 days of the billing date. If your
account is suspended for non-payment, you will be required to pay not only the past due amount, but any current invoice
amounts before any further business can be conducted with the Department. In addition, per NRS 353C, your account will
be turned over to a private collection agency. Accounts referred for private collection may be required to pay private
collection fees. Accounts referred to the collection agency will remain suspended until proper notification of payment in full
is received directly from the collection agency.
IR005 (5/2012)
NRS 481.063 Collection and deposit of fees for publications of Department and private use of
files and records of Department; limitations on release and use of files and records;
regulations.
1. The Director may charge and collect reasonable fees for official publications of the Department and from persons
making use of files and records of the Department or its various divisions for a private purpose. All money so collected
must be deposited in the State Treasury for credit to the Motor Vehicle Fund.
2. Except as otherwise provided in subsection 6, the Director may release personal information, except a photograph,
from a file or record relating to the driver’s license, identification card, or title or registration of a vehicle of a person if the
requester submits a written release from the person who holds a lien on the vehicle, or an agent of that person, or the
person about whom the information is requested which is dated not more than 90 days before the date of the request. The
written release must be in a form required by the Director.
3. Except as otherwise provided in subsections 2 and 4, the Director shall not release to any person who is not a
representative of the Division of Welfare and Supportive Services of the Department of Health and Human Services or an
officer, employee or agent of a law enforcement agency, an agent of the public defender’s office or an agency of a local
government which collects fines imposed for parking violations, who is not conducting an investigation pursuant to NRS
253.0415 or 253.220, who is not authorized to transact insurance pursuant to chapter 680A of NRS or who is not licensed
as a private investigator pursuant to chapter 648 of NRS and conducting an investigation of an insurance claim:
(a) A list which includes license plate numbers combined with any other information in the records or files of the
Department;
(b) The social security number of any person, if it is requested to facilitate the solicitation of that person to purchase a
product or service; or
(c) The name, address, telephone number or any other personally identifiable information if the information is
requested by the presentation of a license plate number.
Ê When such personally identifiable information is requested of a law enforcement agency by the presentation of a license
plate number, the law enforcement agency shall conduct an investigation regarding the person about whom information is
being requested or, as soon as practicable, provide the requester with the requested information if the requester officially
reports that the motor vehicle bearing that license plate was used in a violation of NRS 205.240, 205.345, 205.380 or
205.445.
4. If a person is authorized to obtain such information pursuant to a contract entered into with the Department and if
such information is requested for the purpose of an advisory notice relating to a motor vehicle or the recall of a motor
vehicle or for the purpose of providing information concerning the history of a vehicle, the Director may release:
(a) A list which includes license plate numbers combined with any other information in the records or files of the
Department; or
(b) The name, address, telephone number or any other personally identifiable information if the information is
requested by the presentation of a license plate number.
5. Except as otherwise provided in subsections 2, 4 and 6 and NRS 483.294, 483.855 and 483.937, the Director shall
not release any personal information from a file or record relating to a driver’s license, identification card, or title or
registration of a vehicle.
6. Except as otherwise provided in paragraph (a) and subsection 7, if a person or governmental entity provides a
description of the information requested and its proposed use and signs an affidavit to that effect, the Director may
release any personal information, except a photograph, from a file or record relating to a driver’s license, identification
card, or title or registration of a vehicle for use:
(a) By any governmental entity, including, but not limited to, any court or law enforcement agency, in carrying out its
functions, or any person acting on behalf of a federal, state or local governmental agency in carrying out its functions. The
personal information may include a photograph from a file or record relating to a driver’s license, identification card, or title
or registration of a vehicle.
(b) In connection with any civil, criminal, administrative or arbitration proceeding before any federal or state court,
regulatory body, board, commission or agency, including, but not limited to, use for service of process, investigation in
anticipation of litigation, and execution or enforcement of judgments and orders, or pursuant to an order of a federal or
state court.
(c) In connection with matters relating to:
(1) The safety of drivers of motor vehicles;
(2) Safety and thefts of motor vehicles;
(3) Emissions from motor vehicles;
(4) Alterations of products related to motor vehicles;
(5) An advisory notice relating to a motor vehicle or the recall of a motor vehicle;
(6) Monitoring the performance of motor vehicles;
(7) Parts or accessories of motor vehicles;
(8) Dealers of motor vehicles; or
(9) Removal of nonowner records from the original records of motor vehicle manufacturers.
(d) By any insurer, self-insurer or organization that provides assistance or support to an insurer or self-insurer or its
agents, employees or contractors, in connection with activities relating to the rating, underwriting or investigation of claims
or the prevention of fraud.
(e) In providing notice to the owners of vehicles that have been towed, repossessed or impounded.
(f) By an employer or its agent or insurer to obtain or verify information relating to a holder of a commercial driver’s
license who is employed by or has applied for employment with the employer.
(g) By a private investigator, private patrol officer or security consultant who is licensed pursuant to chapter 648 of
NRS, for any use permitted pursuant to this section.
(h) By a reporter or editorial employee who is employed by or affiliated with any newspaper, press association or
commercially operated, federally licensed radio or television station for a journalistic purpose. The Department may not
make any inquiries regarding the use of or reason for the information requested other than whether the information will be
used for a journalistic purpose.
(i) In connection with an investigation conducted pursuant to NRS 253.0415 or 253.220.
(j) In activities relating to research and the production of statistical reports, if the personal information will not be
published or otherwise redisclosed, or used to contact any person.
(k) In the bulk distribution of surveys, marketing material or solicitations, if the Director has adopted policies and
procedures to ensure that:
(1) The information will be used or sold only for use in the bulk distribution of surveys, marketing material or
solicitations;
(2) Each person about whom the information is requested has clearly been provided with an opportunity to
authorize such a use; and
(3) If the person about whom the information is requested does not authorize such a use, the bulk distribution will
not be directed toward that person.
7. Except as otherwise provided in paragraph (j) of subsection 6, a person who requests and receives personal
information may sell or disclose that information only for a use permitted pursuant to subsection 6. Such a person shall
keep and maintain for 5 years a record of:
(a) Each person to whom the information is provided; and
(b) The purpose for which that person will use the information.
Ê The record must be made available for examination by the Department at all reasonable times upon request.
8. Except as otherwise provided in subsection 2, the Director may deny any use of the files and records if the Director
reasonably believes that the information taken may be used for an unwarranted invasion of a particular person’s privacy.
9. Except as otherwise provided in NRS 485.316, the Director shall not allow any person to make use of information
retrieved from the system created pursuant to NRS 485.313 for a private purpose and shall not in any other way release
any information retrieved from that system.
10. The Director shall adopt such regulations as the Director deems necessary to carry out the purposes of this
section. In addition, the Director shall, by regulation, establish a procedure whereby a person who is requesting personal
information may establish an account with the Department to facilitate the person’s ability to request information
electronically or by written request if the person has submitted to the Department proof of employment or licensure, as
applicable, and a signed and notarized affidavit acknowledging that the person:
(a) Has read and fully understands the current laws and regulations regarding the manner in which information from
the Department’s files and records may be obtained and the limited uses which are permitted;
(b) Understands that any sale or disclosure of information so obtained must be in accordance with the provisions of
this section;
(c) Understands that a record will be maintained by the Department of any information he or she requests; and
(d) Understands that a violation of the provisions of this section is a criminal offense.
11. It is unlawful for any person to:
(a) Make a false representation to obtain any information from the files or records of the Department.
(b) Knowingly obtain or disclose any information from the files or records of the Department for any use not permitted
by the provisions of this chapter.
12. As used in this section:
(a) “Personal information” means information that reveals the identity of a person, including, without limitation, his or
her photograph, social security number, driver’s license number, identification card number, name, address, telephone
number or information regarding a medical condition or disability. The term does not include the zip code of a person
when separate from his or her full address, information regarding vehicular accidents or driving violations in which he or
she has been involved or other information otherwise affecting his or her status as a driver.
(b) “Vehicle” includes, without limitation, an off-highway vehicle as defined in NRS 490.060.
(Added to NRS by 1957, 611; A 1975, 210; 1979, 1118; 1981, 1590; 1985, 686; 1989, 473; 1993, 2479; 1995, 1926;
1997, 65, 312, 2342; 1999, 1932; 2001, 909; 2003, 454; 2009, 709, 2201, 2273; 2011, 289, 2679)
NRS 482.170 Records of Department concerning registration and licensing. Except as otherwise
provided in NRS 239.0115, 481.063 and 485.316, all personal information in the records of registration and licensing in
the offices of the Department is confidential and must not knowingly be disclosed by the Department.
