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Request For MVR by Mail: MVR CDL MVR Driver Information

This document is a request form for individuals in Utah to obtain their own Motor Vehicle Record (MVR) or Commercial Motor Vehicle Driver Record (CDL-MVR). It requires personal information, a certification statement, and a notary signature, along with an $8.00 fee. The form outlines the types of records available and the legal implications of misuse of personal information.

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yosmaryjose15
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30 views1 page

Request For MVR by Mail: MVR CDL MVR Driver Information

This document is a request form for individuals in Utah to obtain their own Motor Vehicle Record (MVR) or Commercial Motor Vehicle Driver Record (CDL-MVR). It requires personal information, a certification statement, and a notary signature, along with an $8.00 fee. The form outlines the types of records available and the legal implications of misuse of personal information.

Uploaded by

yosmaryjose15
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REQUEST FOR MVR BY MAIL

This form shall be used by persons making requests for a copy of their own driving record (MVR ‐
Motor Vehicle Record) under Utah Code Ann. §53‐3‐104 or a copy of their own commercial motor
vehicle driver record (CDL ‐ MVR) under Utah Code Ann. § 53‐3‐420.

DRIVER INFORMATION

Please type or print all information.

Driver's Name Date of Birth / / License #

Daytime Telephone Date of Request

Mailing Address
Street City/State ZIP

Certification Statement: I certify under penalty of law that I am entitled to personal information from the requested driver
record. I am aware that there are criminal and civil penalties for knowingly obtaining, disclosing, or using the personal
information for a purpose not permitted under DPPA (18 U.S.C. §§ 2721‐2724) and under GRAMA (U.C.A .§ 63G‐2‐202).

(Signature of person requesting driving record)

Subscribed and sworn to me this day of , 20


In the county of , State of

Notary Signature
Notary expires:
□ Fee of $8.00 enclosed. Notary Public Seal or Stamp

TYPE OF MOTOR VEHICLE RECORD (MVR) REQUESTED


□ MVR Regular Motor Vehicle Driver Record contains all records of conviction for moving violations and
suspensions within the past three (3) years AND all alcohol/drug‐related violations, suspensions, and
revocations within the past ten (10) years.

□ CDL‐MVR Commercial Motor Vehicle Driver Record contains ALL records of conviction for moving violations,
including pleas in abeyance, suspensions, revocations, disqualifications, licenses, and out‐of‐state accidents.
(Driver must hold a current CDL license to obtain a CDL‐MVR.)

DLD USE ONLY


Date Received

DLD Employee

DLD60m
Rev. 2-24

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