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OHIO DEPARTMENT OF PUBLIC SAFETY

BUREAU OF MOTOR VEHICLES

RECORD CONFIDENTIALITY REQUEST

In accordance with Section 4501.271(A)(1) of the Ohio Revised Code, a peace officer, correctional employee, or youth services employee may file a written request with the Bureau of Motor Vehicles to block officer’s or employee’s residence address and/or to display a business address on the officer’s or correctional or youth services employee’s driver license and/or certificates of registration. This document must be updated at each renewal of your Ohio Driver License or ID.

1.You must fill out this form and appear at a Deputy Registrar Agency.

2.You must verify your status as a peace officer, correctional employee, or youth services employee by providing your employment picture identification card. Verification of your status must be confirmed by marking the appropriate box on the backside of this form. Mark one (1) box only.

3.Complete Part A if you are requesting nondisclosure of your residence address from your driver license and vehicle registrations record.

4.Complete Part B if you are requesting your business address to appear on your driver license or certificates of registration. (Automatically blocks ALL vehicles registered in your name).

5.This form will be effective after receipt and processing at the Bureau of Motor Vehicles in Columbus. Please do not leave any fields blank when completing section A, B or both.

A.PROHIBIT DISCLOSURE OF RESIDENCE ADDRESS

Driver Licenses

(PLEASE PRINT)

Vehicle Registrations

NAME

 

 

 

DATE OF BIRTH

 

 

 

 

 

RESIDENCE ADDRESS

CITY

 

STATE

ZIP CODE

 

 

 

 

 

DRIVER LICENSE/OHIO ID #

 

PLATE #

 

 

 

 

 

 

B.DISPLAY BUSINESS ADDRESS ON DRIVER LICENSE AND/OR CERTIFICATES OF REGISTRATION

Driver Licenses

(PLEASE PRINT)

Vehicle Registrations

NAME

 

 

 

DATE OF BIRTH

 

 

 

 

 

BUSINESS ADDRESS

CITY

 

STATE

ZIP CODE

 

 

 

 

 

DRIVER LICENSE/OHIO ID #

 

PLATE #

 

 

 

 

 

 

NOT VALID UNLESS CATEGORY OF ELIGIBILITY IS CHECKED ON BACK

X

APPLICANT SIGNATURE

DATE

Verification & Signature for Completion Required

PHOTO ID VERIFIED BY:

Agency #:

Signature: X

MAIL TO: Ohio Bureau of Motor Vehicles

Attn: License Support Services

P.O. Box 16784

Columbus, OH 43216-6784

BMV 2610 10/09 Page 1 of 2

C.Applicable to Peace Officer, Correctional or Youth Services employee described as follows

I qualify as a Peace Officer, Correctional Employee or Youth Services Employee as checked below:

1. A deputy sheriff, marshal, deputy marshal, member of the organized police department of a township or municipal corporation, member of a township police district or joint township police district police force, member of a police force employed by a metropolitan housing authority under division (D) of section 3735.31 of the Revised Code, or township constable, who is commissioned and employed as a peace officer by a political subdivision of this state or by a metropolitan housing authority, and whose primary duties are to preserve the peace, to protect life and property, and to enforce the laws of this state, ordinances of a municipal corporation, resolutions of a township, or regulations of a board of county commissioners or board of township trustees, or any of those laws, ordinances, resolutions, or regulations.

2. A police officer who is employed by a railroad company and appointed and commissioned by the governor pursuant to sections 4973.17 to 4973.22 of the Revised Code.

3. An undercover drug agent.

4. Enforcement agents of the department of public safety whom the director of public safety designates under section 5502.14 of the Revised Code.

5. An employee of the department of natural resources who is a natural resources law enforcement staff officer designated pursuant to section 1501.013, a park officer designated pursuant to section 1541.10, a forest officer designated pursuant to 1503.29, a preserve officer designated pursuant to section 1517.10, a wildlife officer designated pursuant to section 1531.13, or a state watercraft officer designated pursuant to section 1547.521 of the Revised Code.

6. A police officer who is employed by a hospital that employs and maintains its own proprietary police department or security department, and who is appointed and commissioned by the governor pursuant to sections 4973.17 to 4973.22 of the Revised Code.

7. Ohio veteran’s home police officers designated under section 5907.02 of the Revised Code.

8. A state university law enforcement officer appointed under section 3345.04 of the Revised Code or a person serving as a state university law enforcement officer on a permanent basis on June 19, 1978, who has been awarded a certificate by the executive director of the Ohio peace officer training council attesting to the person’s satisfactory completion of an approved state, county, municipal, or department of natural resources peace officer basic training program.

9. A special police officer employed by the department of mental health pursuant to section 5119.14 of the Revised Code or the department of mental retardation and developmental disabilities pursuant to section 5123.13 of the Revised Code.

10. A state highway patrol trooper.

11. Correctional employee of the department of rehabilitation and correction who in the course of performing job duties has or has had contact with inmates and persons under supervision.

12. Youth services employee of the department of youth services who in the course of performing job duties has or has had contact with children committed to the custody of the department of youth services.

13. An officer, agent, or employee of the state or any of its agencies, instrumentalities, or political subdivisions, upon whom by statue, a duty to conserve the peace or to enforce all or certain laws is imposed and the authority to arrest violators is conferred, within the limits of that statutory duty an authority, an investigator of the bureau of criminal identification and investigation as defined in section 2903.11 of the Revised Code.

14. A member of a police force employed by a regional transit authority under division 306.35 of the Revised Code

(PLEASE NOTE THAT IF YOU ARE A PEACE OFFICER BUT NOT LISTED ABOVE, YOU DO NOT QUALIFY. ONLY THOSE LISTED ABOVE ARE ELIGIBLE UNDER THIS LAW.)

My Peace Officer, correctional or youth services employment status has changed, and I no longer qualify to request nondisclosure of my residence address or display of my business address on my driver license or certificates of registration.

I am an eligible Peace Officer, correctional or youth services employee but no longer wish to request nondisclosure of my residence address or display of my business address on my driver license or certificates of registration.

X

APPLICANT SIGNATURE

DATE

BMV 2610 10/09 Page 2 of 2

Document Properties

Fact Name Fact Details
Purpose The Ohio BMV 2610 form is used to request confidentiality for the residence address of peace officers, correctional employees, or youth services employees.
Governing Law This form is governed by Section 4501.271(A)(1) of the Ohio Revised Code.
Eligibility Only peace officers, correctional employees, or youth services employees can use this form to block their residence address from public records.
Verification Required Applicants must provide a valid employment picture ID to verify their status when submitting the form.
Form Completion Sections A and B must be completed accurately. Leaving any fields blank is not permitted.
Submission Location The completed form must be submitted to a Deputy Registrar Agency or mailed to the Ohio Bureau of Motor Vehicles.
Renewal Requirement This request must be updated with each renewal of the Ohio Driver License or ID.
Effectiveness The confidentiality request becomes effective after processing by the Bureau of Motor Vehicles in Columbus.

Documents used along the form

The Ohio BMV 2610 form is essential for peace officers, correctional employees, and youth services employees seeking to protect their personal information. When submitting this form, several other documents may also be required or beneficial for a comprehensive request. Below is a list of commonly used forms and documents that often accompany the Ohio BMV 2610 form.

  • Ohio Driver License or ID Card: This document serves as proof of identity and residency. It is necessary to verify the applicant’s identity when submitting the BMV 2610 form.
  • Employment Picture Identification Card: This card verifies the applicant's employment status as a peace officer, correctional employee, or youth services employee. It is a critical component for eligibility verification.
  • Proof of Residency: Documents such as utility bills or lease agreements may be required to establish the applicant's current residence. This is especially important if the applicant is requesting nondisclosure of their residence address.
  • Application for Ohio Vehicle Registration: This form is needed if the applicant wishes to register a vehicle under their name. It may be relevant if the applicant is requesting the display of a business address on their vehicle registration.
  • Non-compete Agreement Form: To ensure compliance with employment regulations, refer to our detailed Non-compete Agreement guidelines that outline essential provisions and considerations.
  • Request for Address Confidentiality Program (ACP): This is an additional form that some applicants may use to further protect their address from public disclosure. It is particularly useful for those in high-risk occupations.
  • Change of Address Form: If the applicant has recently moved, this form should be submitted to update their address with the Bureau of Motor Vehicles. Keeping records current is crucial for maintaining confidentiality.
  • Vehicle Title Application: This form is necessary for individuals who are transferring ownership of a vehicle. It is relevant if the applicant is also changing the address associated with their vehicle title.
  • Notarized Statement of Employment: In some cases, a notarized letter from the employer may be required to confirm the applicant's employment status and role, further supporting the request for confidentiality.
  • Ohio Bureau of Motor Vehicles Contact Information: Keeping this information handy is vital for applicants who may need to follow up on their request or seek assistance regarding the process.

Understanding the documents required alongside the Ohio BMV 2610 form is crucial for ensuring a smooth application process. Applicants should gather these forms and any additional information beforehand to expedite their request for confidentiality.

Guidelines on Filling in Ohio Bmv 2610

Completing the Ohio BMV 2610 form is essential for eligible peace officers, correctional employees, or youth services employees who wish to keep their residence address confidential or display a business address on their driver license. Follow these steps carefully to ensure your request is processed without delay.

  1. Obtain the Ohio BMV 2610 form from the Ohio Bureau of Motor Vehicles website or a local Deputy Registrar Agency.
  2. Fill out the form completely. Ensure that no fields are left blank in either Part A or Part B.
  3. In Part A, provide your name, date of birth, residence address, city, state, zip code, driver license or Ohio ID number, and vehicle plate number if you are requesting nondisclosure of your residence address.
  4. In Part B, fill in your name, date of birth, business address, city, state, zip code, driver license or Ohio ID number, and vehicle plate number if you are requesting your business address to appear on your driver license or certificates of registration.
  5. On the back of the form, verify your status as a peace officer, correctional employee, or youth services employee by marking the appropriate box. Only mark one box.
  6. Sign and date the application in the designated area.
  7. Present your employment picture identification card at the Deputy Registrar Agency to confirm your status.
  8. Submit the completed form to the Ohio Bureau of Motor Vehicles by mailing it to the address provided on the form.

After submission, the Bureau of Motor Vehicles will process your request. It is important to keep your information updated at each renewal of your Ohio Driver License or ID. Make sure to follow any additional instructions provided by the Bureau to ensure your request is handled efficiently.

Common mistakes

Completing the Ohio BMV 2610 form can be a straightforward process, but there are common mistakes that individuals often make. One significant error is leaving fields blank. Each section of the form, whether it’s Part A or Part B, requires complete information. If any field is left empty, it can delay the processing of your request or result in outright rejection. Ensure that you take the time to fill in every required detail, including your name, address, and identification numbers.

Another frequent mistake involves failing to provide proper verification of employment status. The form requires individuals to verify their status as a peace officer, correctional employee, or youth services employee. This verification is crucial and must be done by marking the appropriate box on the back of the form. Neglecting to do this can lead to complications and may prevent the request from being processed. Always remember to double-check that you have marked the correct box, as only one should be selected.

Additionally, individuals sometimes misunderstand the purpose of Parts A and B. Part A is specifically for those requesting nondisclosure of their residence address, while Part B is for those who want their business address displayed. Confusing these sections can result in submitting the wrong information. It is vital to read the instructions carefully and complete the part that corresponds to your specific request. Misplacing this information can create unnecessary delays in receiving your updated documentation.

Lastly, not updating the form at each renewal can lead to issues. The Ohio BMV 2610 form must be resubmitted whenever you renew your driver’s license or ID. Some individuals forget this requirement, assuming that their previous request remains valid indefinitely. This oversight can result in the loss of confidentiality protections. Keeping track of renewal dates and ensuring that you submit the form again is essential for maintaining the confidentiality of your residence address.

FAQ

  1. What is the purpose of the Ohio BMV 2610 form?

    The Ohio BMV 2610 form is designed for peace officers, correctional employees, and youth services employees to request the confidentiality of their residence addresses. By submitting this form, eligible individuals can block their home addresses from public disclosure and, if desired, display a business address on their driver licenses and vehicle registrations.

  2. Who is eligible to use the Ohio BMV 2610 form?

    Eligibility is limited to specific roles, including peace officers, correctional employees, and youth services employees as defined by Ohio law. This includes individuals such as deputy sheriffs, undercover drug agents, and state university law enforcement officers. If you do not fall into one of the listed categories, you cannot use this form.

  3. What steps must be taken to complete the form?
    • First, fill out the form completely, ensuring no fields are left blank.
    • Next, appear at a Deputy Registrar Agency to submit your request.
    • Lastly, provide your employment picture identification card to verify your status.
  4. How often do I need to submit the Ohio BMV 2610 form?

    This form must be submitted each time you renew your Ohio driver license or ID. Keeping your information up-to-date is crucial to maintaining confidentiality.

  5. What happens after I submit the form?

    Once the Ohio Bureau of Motor Vehicles receives and processes your form, the requested confidentiality measures will take effect. It is important to allow sufficient time for processing, as delays may occur.

  6. Can I request both nondisclosure of my residence address and display of my business address?

    Yes, you can request both options by completing Part A for nondisclosure of your residence address and Part B for displaying your business address. However, ensure that you mark only one box for eligibility on the backside of the form.

  7. What should I do if my employment status changes?

    If your employment status changes and you no longer qualify as a peace officer, correctional employee, or youth services employee, you must inform the Bureau of Motor Vehicles. This includes situations where you wish to withdraw your request for confidentiality.

  8. Where do I send the completed form?

    The completed Ohio BMV 2610 form should be mailed to the Ohio Bureau of Motor Vehicles, specifically to the attention of License Support Services at P.O. Box 16784, Columbus, OH 43216-6784.