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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 Name Fact Details
Form Purpose The Ohio BMV 1173 form is used to request driving or vehicle records from the Ohio Bureau of Motor Vehicles.
Governing Laws This form is governed by Ohio Revised Code sections 4501.15, 4501.27, and 4507.53.
Required Sections Sections 1-5 must be completed to process the request. Incomplete forms may be returned.
Submission Method Requests can be submitted via mail to the Ohio Bureau of Motor Vehicles in Columbus.
Fee Structure A fee of $5.00 is required for each certified record requested.
Identification Requirements Requesters must provide personal identifiers such as name, address, and, if applicable, social security number.
Record Types Various record types can be requested, including driving records, vehicle registration records, and title records.
Eligibility Criteria Eligibility to request records includes personal requests, consent from another person, or legal requirements.
Confidentiality Agreement Requesters must understand that personal information received cannot be disclosed without authorization.

Documents used along the form

The Ohio BMV 1173 form is essential for requesting driving or vehicle records from the Bureau of Motor Vehicles. However, several other forms and documents may accompany this request, depending on the specific circumstances. Here’s a list of documents that are often used in conjunction with the Ohio BMV 1173 form.

  • BMV 5008 - Notarized Written Consent Form: This form is necessary when requesting records for another person. It must be completed, signed, and notarized to ensure that the request complies with privacy laws.
  • Ohio Driver License: A valid Ohio driver license serves as a primary identifier when requesting driving records. It confirms the identity of the individual making the request.
  • Gift Certificate Form: A necessary documentation that converts a set amount of money into a redeemable instrument at designated merchants, as outlined by resources available at smarttemplates.net.
  • Social Security Card: While not mandatory, providing a Social Security number can enhance the accuracy of the records search. It helps the BMV locate the correct records more efficiently.
  • Vehicle Title: This document proves ownership of a vehicle and may be required when requesting vehicle registration or title records. It contains vital information about the vehicle's history.
  • Vehicle Registration Certificate: This certificate is proof of a vehicle's registration and may be needed to request specific vehicle-related information from the BMV.
  • Court Order: If the request is made under a court order, a certified copy of that order must be attached. This document legitimizes the request and specifies the information needed.
  • Tax ID Number: For businesses requesting records, a tax ID number may be required. It helps identify the business and ensures compliance with legal requirements.
  • Power of Attorney: If someone is acting on behalf of another individual, a power of attorney document may be necessary. This form grants legal authority to act in the other person's stead.

Understanding these accompanying documents can streamline the process of obtaining the necessary records from the Ohio Bureau of Motor Vehicles. Always ensure that all required forms are completed accurately to avoid delays in processing your request.

Guidelines on Filling in Ohio Bmv 1173

Filling out the Ohio BMV 1173 form requires careful attention to detail. This form is essential for requesting driving or vehicle records from the Ohio Bureau of Motor Vehicles. It is important to complete all sections accurately to avoid delays in processing your request.

  1. Obtain the Form: Download or print the Ohio BMV 1173 form from the official Ohio Bureau of Motor Vehicles website.
  2. Section 1 - Requesting Person: Fill in your full name and mailing address. If applicable, include your company name, street address, city, state, and ZIP code. Provide your phone number and email address. Select how you would like to receive the results (email or mail).
  3. Section 2 - Select Option: Choose either Option 1 (your own record) or Option 2 (another person’s record). If you are requesting another person's record, provide their name, Ohio driver license number, date of birth, social security number (if available), Ohio license plate number, vehicle identification number, and Ohio title number.
  4. Section 3 - Record Type: Indicate the type of certified Ohio BMV record you are requesting. Options include driving record abstract, last known address, driver license history, driving record history, vehicle registration record, and vehicle title record.
  5. Section 4 - Qualification: Check the appropriate box to indicate your qualification for requesting the information. Options range from requesting your own record to using the information for legal proceedings or business purposes. Provide any required documentation as specified.
  6. Section 5 - Signature: Sign and date the form. Make sure to certify that all information is true and accurate, understanding the legal implications of providing false information.
  7. Payment: Include a check or money order made out to the Ohio Treasurer of State for the applicable fees. The fee is $5.00 per record requested.
  8. Submit the Form: Mail the completed form along with payment to the Ohio Bureau of Motor Vehicles, Attn: BMV Records, P.O. Box 16520, Columbus, Ohio 43216-6520.

Once the form is submitted, the Ohio Bureau of Motor Vehicles will process your request. You should receive the requested records based on your chosen method of delivery. Ensure that you keep a copy of the completed form for your records.

Common mistakes

Filling out the Ohio BMV 1173 form can seem straightforward, but many people make common mistakes that can delay their requests. One frequent error is failing to complete all required sections. The form explicitly states that sections 1-5 must be filled out. If any section is left blank, the form may be returned, causing unnecessary delays in obtaining the requested records.

Another common mistake is not providing a clear and legible mailing address or email. If the email address is illegible or invalid, the BMV will default to mailing the records to the provided address. This can lead to further complications, especially if the address is incorrect or outdated.

Some individuals overlook the importance of selecting the correct option in section 2. Choosing the wrong option can result in receiving the wrong type of record. It is crucial to ensure that the identifiers provided match the option selected, whether it’s for one’s own record or someone else’s.

In section 3, people often forget to mark the type of certified record they are requesting. Each type of record has a specific fee associated with it, and failing to indicate the desired record can lead to confusion and delays in processing the request.

Additionally, not providing adequate identifiers can hinder the search process. While it is not mandatory to include a Social Security number, doing so can significantly assist in accurately retrieving records. Providing as many identifiers as possible increases the likelihood of a successful request.

Another mistake occurs in section 4, where individuals may not check the appropriate qualification for requesting information. This section has several options, and selecting the wrong one can lead to the rejection of the request. Understanding the purpose behind the request is essential to ensure compliance with the law.

Some applicants also neglect to sign and date the form in section 5. This signature is a crucial part of the process, as it certifies the accuracy of the information provided. Without a signature, the request will not be processed.

Lastly, individuals often underestimate the importance of reviewing the entire form before submission. Taking a moment to double-check all entries can prevent minor errors from causing significant delays. A thorough review ensures that all information is accurate and complete, facilitating a smoother process for obtaining records.

FAQ

  1. What is the Ohio BMV 1173 form used for?

    The Ohio BMV 1173 form is a record request form used to obtain driving or vehicle records from the Ohio Bureau of Motor Vehicles. Individuals can request their own records or the records of another person, provided they have the necessary identifiers and meet specific qualifications outlined in the form.

  2. How do I complete the Ohio BMV 1173 form?

    The form consists of five sections. In Section 1, you must provide your full name, mailing address, and indicate how you would like to receive the results of your request. Section 2 requires you to select whether you are requesting your own records or another person’s records, along with the relevant identifiers such as name, date of birth, and license plate number. Section 3 involves marking the type of certified record you wish to obtain. Section 4 requires you to check a qualification for requesting the information, and finally, Section 5 requires your signature and date to certify the accuracy of the information provided.

  3. What types of records can I request using this form?

    The Ohio BMV 1173 form allows you to request various types of records, including:

    • Driving Record Abstract
    • Last Known Address
    • Driver License History
    • Driving Record History
    • Vehicle Registration Record
    • Vehicle Title Record
    • Historical Chain of Ownership for vehicle titles

    Each record type has an associated fee of $5.00.

  4. What is the fee for requesting records, and how should I pay?

    There is a fee of $5.00 for each record requested through the Ohio BMV 1173 form. Payments should be made via check or money order, payable to the Ohio Treasurer of State. It is important to include the payment along with the completed form when submitting your request.

  5. What qualifications must I meet to request records on another person?

    To request records on another individual, you must have written consent from that person. This consent must be documented using the BMV Notarized Written Consent form (5008), which should be attached to your request. Alternatively, you may qualify under certain legal conditions, such as being a government agency or having a court order.

  6. What happens if I fail to complete the form correctly?

    If the Ohio BMV 1173 form is not completed in full or if required sections are left blank, the form may be returned without processing. It is crucial to ensure that all sections are filled out accurately and completely to avoid delays in obtaining the requested records.