Homepage Blank Ohio Bmv 1173 Template
Jump Links

The Ohio BMV 1173 form, a crucial document from the Ohio Department of Public Safety's Bureau of Motor Vehicles, serves a vital role in facilitating the request of motor vehicle records. It's designed in compliance with sections of the Ohio Revised Code, and completing this form with accuracy is indispensable. The necessity to provide a check or money order payable to the Ohio Treasurer of State highlights the formality and the importance of adhering to procedural requirements. Requiring comprehensive information in its sections, the form ensures that requests for personal or another person's driving or vehicle records are handled meticulously. Moreover, it details various types of record requests, ranging from driving record abstracts to vehicle title records, alongside specifying the qualifications for requesting this information, underscoring the multifaceted considerations involved in accessing such sensitive information. Additionally, it emphasizes the legal implications of misusing the obtained information, including potential civil penalties for unauthorized disclosures. This form, therefore, not only acts as a gateway to obtaining essential records but also safeguards the privacy and integrity of individuals’ motor vehicle records, reflecting the balance between accessibility and confidentiality in the handling of personal data.

Example - Ohio Bmv 1173 Form

OHIO DEPARTMENT OF PUBLIC SAFETY

BUREAU OF MOTOR VEHICLES

OHIO BMV RECORD REQUEST FORM

(Ohio Revised Code [R.C.] 4501.15, 4501.27, & 4507.53)

Complete sections 1-5 of this form and provide check or money order payable to: Ohio Treasurer of State for applicable fees.

Return to: Ohio Bureau of Motor Vehicles, Attn: BMV Records, P.O. Box 16520, Columbus, Ohio 43216-6520. Disclosure of the listed information below is REQUIRED. Failure to complete all sections may result in this form being returned.

SECTION 1

Requesting Person - Provide your full name, mailing address, and choose how the results of your request should be returned.

FULL NAME (REQUIRED)

MAILING ADDRESS (REQUIRED)

COMPANY NAME (If Applicable)

STREET ADDRESS

CITY

STATE

ZIP CODE

PHONE NUMBER

 

 

 

 

E-MAIL (If email address is illegible, invalid, or unverified, the records will be mailed to the above mailing address)

 

How would you like the results of your search returned to you? Choose only one option below. If no mark is present the results will be mailed.

I would like my results emailed as provided

I would like my results mailed to the address above

 

 

 

 

 

 

 

 

 

 

SECTION 2

 

 

 

 

Select one of the following options and provide the applicable identifiers.

 

 

 

 

 

 

 

OPTION 1

I am requesting my driving or vehicle(s) record. (Provide your applicable identifiers below; no name required)

OPTION 2

I am requesting another person’s driving or vehicle(s) record. (Provide the applicable identifiers below)

 

 

 

NOTE: If requesting records on more than 1 person or vehicle, you may attach additional sheet(s):

Check if attaching additional sheet(s)

 

 

 

 

NAME OF OTHER PERSON (If Applicable)

 

 

 

 

 

 

 

OHIO DRIVER LICENSE (If Applicable)

DATE OF BIRTH (If Applicable)

 

SOCIAL SECURITY NUMBER*

 

 

 

OHIO LICENSE PLATE NUMBER (If Applicable)

VEHICLE IDENTIFICATION NUMBER (If Applicable)

OHIO TITLE NUMBER (If Applicable)

 

 

 

 

 

* Social Security number is not required however, to best assist in your search please provide the Ohio BMV with as many identifiers as possible.

SECTION 3

Mark the type of Certified Ohio BMV Record(s) requested below. ($5.00 Fee per Record)

Driving Record Abstract [302] – Provides license class, status, and previous 3 years reported convictions, suspensions, & accident entries.

Last Known Address [405] – Provides the most recent address provided to the Ohio BMV for an individual.

Driver License History [405A] – Provides current and past driver license information to include dates of issuance, endorsements, issuance type, & license cosigner if available.

Driving Record History [302] – Provides license class, driving status, and complete listing of reported convictions, suspensions, & accidents.

Vehicle Registration Record [303] – Provides vehicle owner and vehicle information.

Vehicle Title Record – Provides title number & title status and vehicle owner, previous owner, & lien holder information.

Vehicle Title Record (Historical Chain of Ownership) – Provides list of vehicles titled to an individual or list of owners of a vehicle to include issuance dates.

BMV 1173 11/19 [760-1060] Page 1 of 2

SECTION 4

Qualification for requesting this information under R.C. 4501.27. Check one below.

1. As an individual requesting own record.

2. With written consent of other person. (Attach the original completed, notarized, and signed BMV Notarized Written Consent form 5008)

3. For use in connection with the operation of a private toll transportation facility. (Facility name must be listed in Section 1 of this form)

4. For use by any government agency, including any court or law enforcement agency, in 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.

5. Pursuant to an order of a court of this state, another state, the United States, or a political subdivision of this state or another state (a subpoena may be used instead of this form). Attach a certified copy of the court order.

6. For use in connection with matters regarding 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, but not limited to, survey research; and removal of non-owner records from the original owner records of motor vehicle manufacturers. Provide relevant documentation supporting your request.

7. For use specifically authorized by law that is related to the operation of a motor vehicle or to public safety. Attach a copy of the relevant statute.

8. For use in connection with a civil, criminal, administrative, or arbitral proceeding in a court or agency of this state, another state, the United States, or a political subdivision of this state or another state or before a self-regulatory body, including, but not limited to, use in connection with the service of process, investigation in anticipation of litigation, or the execution or enforcement of a judgment or order (a subpoena or other court order may be used instead of this form). Provide the court and case number, or if

the case has not yet been filed, the court in which you anticipate to file.

Full Court/Agency Name:

 

Case No.:

9. For use by a licensed private investigative agency or licensed security service for any purpose permitted under division (B) (2) of R.C. 4501.27.

Provide your agency license number:

10. For use in the normal course of business by me as a legitimate business or an agent, employee, or contractor of a legitimate business, for one of the two following purposes: (a) To verify the accuracy of personal information submitted to the business, agent, employee, or contractor by an individual; (b) In case personal information submitted to the business, agent, employee, or contractor by an individual is incorrect or no longer is correct, to obtain the correct information, for the sole purpose of preventing fraud, by pursuing legal remedies against, or recovering on a debt or security interest against, the individual.

Provide your company’s tax ID license number:

11. For use by an employer or by the agent or insurer of an employer to obtain or verify information relating to the holder of a commercial driver license or permit that is required under the "Commercial Motor Vehicle Safety Act of 1986", 100 Stat. 3207-170, 49 U.S.C. 2701, et seq., as now or hereafter amended. If available, a minimum of 10 years of information and any medical card information will be provided.

Provide your company’s tax ID license number:

12. For use in providing notice to the owner of a towed, impounded, immobilized, or forfeited vehicle.

Provide your company’s tax ID license number:

13. For use by an insurer, insurance support organization, or self-insured entity, or by an agent, employee, or contractor of that type of entity, in connection with a claims investigation activity, anti-fraud activity, rating, or underwriting.

Provide your company’s tax ID license number:

SECTION 5

Sign and date.

Pursuant to R.C. 4501.27, I understand that if I receive personal information from the results of this request, I may not disclose that information except as authorized under R.C. 4501.27 and that if I disclose any personal information, I must keep for a period of five years a record that identifies each person or entity that receives any of the personal information and the permitted purpose for which the information is to be used, and I must make all such records available to the Registrar of Motor Vehicles upon request. I understand that any unauthorized disclosure may result in civil penalties and fines.

I hereby certify that all of the information contained on this form is true and accurate to the best of my knowledge and belief. I understand that providing false information may constitute a criminal offense of falsification with a maximum penalty of 6 months in jail and a $1000 fine.

SIGNATURE (REQUIRED)

X

DATE

BMV 1173 11/19 [760-1060] Page 2 of 2

Document Properties

Fact Number Detail
1 The Ohio BMV Record Request Form is designed for individuals seeking to receive driving or vehicle records from the Ohio Bureau of Motor Vehicles.
2 This form is governed under the Ohio Revised Code (R.C.) 4501.15, 4501.27, & 4507.53.
3 Applicants must complete sections 1-5 and attach the applicable fee as a check or money order payable to the Ohio Treasurer of State.
4 Failure to complete all required sections of the form may lead to the form being returned without the requested information being processed.
5 The form can accommodate requests for personal driving records or vehicle information, as well as requests for other people's records with proper authorization.
6 A certified record entails a fee of $5.00 per record, which includes various types of records such as Driving Record Abstract, Last Known Address, Vehicle Registration Record, among others.
7 There are multiple qualification criteria for requesting information, which range from personal requests to law enforcement and legal purposes.
8 Personal information obtained from the request can only be disclosed as authorized under R.C. 4501.27; unauthorized disclosure may result in civil penalties.
9 Providing false information on the form is considered a criminal offense of falsification, which could lead to a penalty of up to 6 months in jail and a $1000 fine.

Detailed Instructions for Using Ohio Bmv 1173

Filling out the Ohio BMV 1173 form is an essential step for anyone needing records from the Bureau of Motor Vehicles. Whether for personal use, legal requirements, or business purposes, it is crucial that each section is completed accurately to avoid delays. Below are clear, step-by-step instructions to ensure the form is filled out correctly and your request is processed efficiently.

  1. Provide your full name in the space labeled FULL NAME (REQUIRED).
  2. Enter your mailing address, including the company name if applicable, street address, city, state, and ZIP code in the respective fields under MAILING ADDRESS (REQUIRED).
  3. Indicate your preferred method of receiving the results by choosing either email or mail. If email is chosen, ensure the email address provided is legible and valid.
  4. Select the option that describes your request under SECTION 2. If Option 1, you do not need to provide a name. If Option 2, complete the required identifiers for the person or vehicle(s) you are inquiring about. Use additional sheets if necessary and indicate this by checking the provided box.
  5. Mark the type(s) of record(s) you are requesting in SECTION 3 and prepare a check or money order for the total fee, calculated as $5.00 per record requested.
  6. In SECTION 4, check the appropriate box that qualifies you for requesting the information, providing any additional documents as indicated for the specific qualification criteria.
  7. Read the acknowledgment regarding the disclosure of personal information under SECTION 5, sign, and date the form to certify the accuracy of the information provided. Be aware that providing false information could lead to criminal penalties.
  8. Review the entire form to ensure all required sections are completed and accompanying documentation is attached as necessary.
  9. Send the completed form along with your payment to: Ohio Bureau of Motor Vehicles, Attn: BMV Records, P.O. Box 16520, Columbus, Ohio 43216-6520.

After submitting the Ohio BMV 1173 form, the Bureau of Motor Vehicles will process your request. Depending on the method of delivery selected, results will be either mailed to the provided address or emailed. Be sure to allow sufficient time for processing and delivery of the requested records. Accurate completion of the form and compliance with the guidelines will ensure a smooth transaction with the BMV.

What You Should Know About Ohio Bmv 1173

What is the Ohio BMV 1173 form used for?

The Ohio BMV 1173 form is a comprehensive request form used for obtaining records from the Ohio Bureau of Motor Vehicles (BMV). This includes driving or vehicle records, such as license class, status, convictions, suspensions, accident entries, vehicle registration, and title records. People might need these records for a variety of reasons, including legal, employment, or personal information verification.

Who can request information using the Ohio BMV 1173 form?

Individuals, government agencies, law enforcement agencies, private toll transportation facilities, and entities legally authorized to obtain such information can use the Ohio BMV 1173 form. These requests can be for the individual's own records or for records of another person, provided that the requestor has written consent or a legitimate legal reason. Different qualifications outlined in Section 4 of the form specify who is eligible to request these records and for what purposes.

What information do I need to complete the Ohio BMV 1173 form?

To complete the form, you need to provide your full name, mailing address, and indicate how you would like to receive the results. If requesting records other than your own, you must provide the identifiers for the person or vehicle in question, such as the Ohio Driver License number, date of birth, Social Security number (optional but helpful), vehicle identification number (VIN), or title number. Additionally, you must mark the type of record you are requesting, your qualification for requesting this information, and include the applicable fee.

Is there a fee for requesting records with the Ohio BMV 1173 form?

Yes, there is a $5.00 fee for each record requested using the Ohio BMV 1173 form. This fee applies to each separate record you are requesting, such as a driving record abstract or a vehicle registration record. Payment should be made via check or money order payable to the Ohio Treasurer of State and included with the form when submitted.

Where do I send the completed Ohio BMV 1173 form?

Once you have completed the form and included the necessary payment, you should mail it to the Ohio Bureau of Motor Vehicles at the following address: Ohio Bureau of Motor Vehicles, Attn: BMV Records, P.O. Box 16520, Columbus, Ohio 43216-6520. Ensure that all sections of the form are filled out completely to avoid any delays in processing your request.

Common mistakes

When filling out the Ohio BMV 1173 form, individuals often make mistakes that can delay the processing of their request or even cause it to be returned. Understanding these common pitfalls can help ensure that the form is completed accurately and efficiently.

  1. Not providing all required information: Each section of the Ohio BMV 1173 form requires specific information to be entered. Failure to provide all necessary details, especially in sections such as the requesting person's full name, mailing address, and the selection of how results should be returned, leads to incomplete submissions. This form's structure requires precise and complete entries for processing.

  2. Inaccurately marking the type of record requested: Section 3 of the form demands that requestors select the type of certified Ohio BMV Record(s) they require, with a $5.00 fee applicable per record. Mistakes or oversights in this area, such as incorrectly marking the wrong box or failing to specify the required record type, can lead to the receipt of incorrect information or none at all.

  3. Failing to attach necessary documentation: Certain requests, particularly those involving another person's driving or vehicle records (Option 2), necessitate the attachment of additional documentation for verification purposes, such as a notarized written consent form. Neglecting to attach these required documents results in the processing of the application being halted until the correct paperwork is received.

  4. Illegible or invalid email addresses: Requestors have the option of receiving results via email. However, if the email address provided is illegible, invalid, or unverified, the BMV cannot deliver the records electronically. This oversight forces the BMV to default to mailing the results, possibly causing delays, especially if the mailing address section is not accurately completed.

Attending carefully to these details will enhance the likelihood of a smooth and prompt processing of the Ohio BMV 1173 form. Providing complete and accurate information upfront is the best way to avoid these common mistakes.

Documents used along the form

When working with the Ohio BMV 1173 form, a Record Request Form used to obtain driving or vehicle records, users often find it necessary to gather and submit additional forms and documents. These documents help fulfill specific legal requirements or support the reasons for the record request. Understanding these related documents can streamline the process, ensuring a smoother operation for either personal or professional objectives.

  • BMV Form 3771 - Application for Certificate of Title to a Motor Vehicle: This form is used to apply for a vehicle title in Ohio. It establishes ownership of the vehicle and is necessary if requesting a vehicle's title record.
  • BMV Form 5736 - Power of Attorney for Ohio Vehicle Registration: Granting another person the authority to handle vehicle registration tasks in Ohio requires this form. It's particularly useful if a record request involves changes to vehicle registration details.
  • BMV Form 5008 - Notarized Written Consent Form: For requesting another person’s driving or vehicle records, Ohio law requires written consent. This notarized form provides the legal basis for such a request, aligning with privacy and disclosure policies.
  • BMV Form 2159 - Mail-In Renewal Application: While not directly related to record requests, individuals often use this form to renew their vehicle registration or driver's license by mail, possibly in conjunction with obtaining their driving record.
  • BMV Form 6751 - Affidavit for Registration: This is required for the registration of certain types of vehicles, including special usage or condition vehicles that may not fit standard categories.
  • BMV Form 3704 - Request for Special Plates: Often accompanying a vehicle record request, this form is used by individuals who wish to apply for specialty or personalized license plates in Ohio.

Each document serves its unique purpose, from establishing ownership and authorizing others to act on your behalf to updating registration details and acquiring specialty license plates. Having the right forms and understanding their functions can make interactions with the Ohio Bureau of Motor Vehicles more efficient and less stressful. Whether for personal use, legal necessities, or compliance with state laws, the correct documentation is key to successfully managing your or others' driving and vehicle records.

Similar forms

The Ohio Bureau of Motor Vehicles Power of Attorney form shares similarities with the Ohio BMV 1173 form, as both enable individuals to act on behalf of others under specific circumstances. The Power of Attorney form grants someone legal authority to make decisions about another individual's vehicle, including registration and titling matters. Similarly, the BMV 1173 form allows for the request of another person’s driving or vehicle records, provided there's proper authorization or legal basis, such as written consent via a notarized document.

Vehicle Registration forms, which are used to register a vehicle with the Ohio BMV, have parallels with the BMV 1173 form in terms of providing vehicle owner and vehicle information. While the BMV 1173 form can request a vehicle registration record, indicating the owner's details and vehicle specifics, a Vehicle Registration form directly facilitates the act of registering a vehicle, thereby creating the records that could later be requested through the BMV 1173.

Driver's License Application forms, necessary for obtaining a driver's license in Ohio, are similar to the BMV 1173 form because they both collect personal and identifying information about individuals. The Driver's License Application gathers details necessary to issue or renew a driver's license, which includes some of the same information that might be retrieved through a BMV 1173 form when requesting a driving record abstract or driver license history.

The Request for Vehicle Information form, utilized to obtain detailed information about a specific vehicle, such as its title history or lien status, also bears resemblance to the BMV 1173 form. Both forms are designed to access data within the Ohio BMV's records, though the former focuses strictly on vehicle information, whereas the BMV 1173 form can request both driver and vehicle records.

Commercial Driver License (CDL) Medical Certification forms are akin to sections of the BMV 1173 form that pertains to commercial driving records. While the CDL Medical Certification is necessary for CDL holders to prove their medical fitness to drive, the BMV 1173 form can be used by employers to request or verify this information, as well as other aspects of a commercial driver's record.

The Vehicle Title Transfer form is connected to the BMV 1173 form by their mutual involvement in the vehicle title process. The Title Transfer form is used when ownership of a vehicle changes hands, creating a record of new ownership. In contrast, the BMV 1173 can request these title records, including the historical chain of ownership, helping to trace the lineage of vehicle ownership through time.

The Crash Report Request form, which is used to obtain copies of traffic crash reports from the Ohio BMV, shares functionality with the BMV 1173 form's ability to request driving records that include accident entries. Both forms serve the purpose of accessing details of incidents involving vehicles, but the Crash Report Request specifically targets reports of collisions.

Notarized Written Consent forms enable the sharing of personal information by giving explicit permission to release such details, aligning with the BMV 1173 form's requirement for written consent when requesting someone else's driving or vehicle records. This ensures compliance with privacy laws, necessitating documented authorization before sensitive information is shared.

The Change of Address forms, which are necessary when individuals need to update their address with the Ohio BMV, have a connection to the Last Known Address request option within the BMV 1173 form. Both documents deal with address information within the BMV's records—the Change of Address form updates this information, while the BMV 1173 form can be used to request it.

The Suspended License Reinstatement form, required for individuals seeking to have their driving privileges restored, has a tangential relationship with the BMK 1173 form. While the process to reinstate a suspended license involves proving eligibility and compliance with specific requirements, the BMV 1173 form can provide access to an individual's driving record history, which includes suspensions, thereby assisting in the reinstatement process.

Dos and Don'ts

Filling out the Ohio BMV 1173 form is a crucial process for obtaining vehicle and driver records from the Ohio Bureau of Motor Vehicles. It's important to approach this task with care to ensure the accuracy and completeness of your request. Here are five key things you should do and five things you shouldn't do when completing this form.

What You Should Do:
  1. Read the instructions carefully before filling out the form to ensure you understand the requirements.
  2. Provide all the required information in Section 1, including your full name, mailing address, and how you would like the results returned to you.
  3. Clearly indicate the type of records you are requesting in Section 3 by marking the appropriate box for the correct fee per record.
  4. Check the appropriate qualification for requesting the information under R.C. 4501.27 in Section 4, to confirm your eligibility to access the records.
  5. Sign and date the form in Section 5, acknowledging your understanding of the use of the information and the penalty for unauthorized disclosure.
What You Shouldn't Do:
  1. Don’t leave sections incomplete. Failure to fill out all required sections may result in the form being returned to you.
  2. Avoid guessing on specific details like the vehicle identification number (VIN) or other identifiers; ensure the information is accurate.
  3. Don’t select multiple methods for how you would like the results returned to you; choose only one option.
  4. Do not provide false information. This could constitute a criminal offense with serious penalties, including jail time and fines.
  5. Don't forget to provide payment for the applicable fees as indicated in Section 3, as failing to do so will delay processing your request.

By following these guidelines and ensuring that your Ohio BMV 1173 form is correctly and completely filled out, you can smoothly navigate the process of requesting BMV records, whether for yourself or another individual.

Misconceptions

When dealing with the Ohio BMV 1173 form, several misconceptions can easily lead to misunderstandings or errors in the application process. To help clarify, here are six common misconceptions:

  • Misconception #1: The Social Security Number (SSN) is mandatory. While including your SSN can assist in the search, the form clearly states that it is not required. Providing as many identifiers as possible does help in accurately processing your request, but the absence of an SSN does not prevent the form from being submitted or processed.
  • Misconception #2: Only individuals can request records. The form provides various options for requesting records, including requests by individuals for their own records, requests with the written consent of another person, and requests by entities for specific purposes outlined in Section 4. This variety accommodates different legitimate requestors, from private individuals to government agencies and businesses.
  • Misconception #3: Email is the default delivery method. Section 1 of the form requires the requestor to choose how they would like the results returned. If no option is selected, the results will be mailed to the provided address by default, not emailed. This ensures that even without a specific selection, the requester will still receive their information in a timely and secure manner.
  • Misconception #4: One form per record request. While the form facilitates requests for your own or another person’s driving or vehicle records, it also allows for the attachment of additional sheets if requesting records on more than one person or vehicle. This flexibility is often overlooked but can be a significant time-saver for those requiring multiple records.
  • Misconception #5: The form is only for obtaining driving records. Although obtaining driving records is a common use of the Ohio BMV 1173 form, it can also be used to request vehicle registration records, title records, and various history reports. This wider range of functionality highlights the form’s role in accessing a broad spectrum of BMV data beyond just driver behavior and status.
  • Misconception #6: There's no need to specify the use of the information requested. Section 4 of the form emphasizes the importance of stating the purpose of the request, offering numerous options to classify the reason accurately. This requirement is a critical part of the form's compliance with privacy laws, ensuring that the information is used responsibly and for legitimate purposes.

Understanding these misconceptions can help in correctly completing the Ohio BMV 1173 form and ensure that requests are processed efficiently and within legal guidelines.

Key takeaways

When handling the Ohio BMV 1173 form, it’s essential to grasp its purpose and the requirements for its submission. Below are six key takeaways that can help ensure the processing of your request goes smoothly.

  • Every section of the Ohio BMV 1173 form is mandatory. Skipping parts may lead to the form being returned without processing.
  • Payment should be made to the Ohio Treasurer of State. It’s crucial to include the appropriate fee with your form to avoid delays.
  • Options for receiving your records include email or standard mail. Choose the method that's best for you in Section 1, and ensure your contact information is accurate.
  • If requesting information on another person’s driving or vehicle records, consent or a suitable qualification under R.C. 4501.27 is necessary. Ensure you meet the criteria and attach any required documents, such as a notarized consent form.
  • The form allows for a broad range of record requests – from driving and vehicle registration records to title records. Clearly mark the type of record you need to ensure you receive the correct information.
  • Before signing the form, carefully review your information. A signature certifies that all the details provided are accurate and true to the best of your knowledge. False information could lead to criminal charges.

Adhering to these guidelines will help streamline the process of requesting records from the Ohio Bureau of Motor Vehicles, whether for personal use, legal matters, or business purposes.

Please rate Blank Ohio Bmv 1173 Template Form
4.66
Incredible
186 Votes