Crd93 Form Online PDF Details

The Crd93 Form, or Certificate of Registration 93 for short, is a document that can be used to register an individual's vehicle in the state of California. This form must be filed with the Department of Motor Vehicles within 10 days after establishing residency in California. The DMV will then issue a registration card and place it on your vehicle before you are allowed to drive on public roads. Failure to obtain this certificate may result in fines and penalties which include suspension of driving privileges." If you have any additional questions about registering your vehicle with the DMV, please contact them directly at (800) 777-0133." The Crd93 Form Online blog post was written by "Blog Author" who has been writing professionally since 2005.

Below is some data that may be beneficial if you are aiming to determine how much time it will require you to complete crd93 form online and the number of PDF pages it includes.

QuestionAnswer
Form NameCrd93 Form Online
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesva crd 93, crd93 form, virginia form crd 93, dmv form crd 93

Form Preview Example

INFORMATION REQUEST

CRD 93 (07/01/2013)

Purpose: Use this form to request information from DMV records.

Instructions: Type or print clearly.

REQUESTER INFORMATION

REQUESTER FULL NAME (last, first, mi, suffix)

 

FEDERAL TAX ID OR SOCIAL SECURITY NUMBER*

 

 

 

 

ORGANIZATIONAL AFFILIATION (if any)

TELEPHONE NUMBER

USE AGREEMENT NUMBER (if applicable)

 

 

 

 

STREET ADDRESS

 

ACCESS CODE (if applicable)

 

 

 

 

CITY

 

STATE

ZIP CODE

 

 

 

 

REASON FOR REQUEST (be specific)

 

 

 

SUBJECT INFORMATION

If you are requesting driving record information, the subject will be the person you are requesting information on. If you are requesting vehicle information, the subject will be the vehicle owner (if available), otherwise you do not need to complete this section.

SUBJECT FULL NAME (last, first, mi, suffix)

CHECK TO INDICATE SUBJECT NAME AND ADDRESS IS THE SAME AS THE REQUESTER ABOVE.

STREET ADDRESS

CITY

STATE

ZIP CODE

INFORMATION REQUESTED

Check one or more boxes below to indicate the type of information you wish to receive. All data fields must be completed for Driving Record Information, Vehicle Information and Decedent Photo Requests. For Police Crash Reports provide as much information as possible.

DRIVING RECORD INFORMATION (Includes license history and conviction data) (complete SUBJECT INFORMATION above)

SUBJECT DRIVER LICENSE NUMBER

or

SUBJECT BIRTH DATE (mm/dd/yyyy)

An authorization from the subject is required for employers and others not authorized by Virginia code. I authorize the Department of Motor Vehicles to furnish, for this one time only, information pertaining to my driving record to the requester identified above.

SUBJECT SIGNATURE

DATE (mm/dd/yyyy)

VEHICLE INFORMATION (Includes vehicle description and registration data) (complete SUBJECT INFORMATION above)

VEHICLE IDENTIFICATION NUMBER (VIN)

VEHICLE MAKE

VEHICLE YEAR

POLICE CRASH REPORT

Check one or more boxes to indicate your involvement in the crash:

 

 

 

 

 

I was a DRIVER

 

I was a PASSENGER

 

I am a VEHICLE OWNER

 

I am the OWNER of property involved in the accident

 

 

 

 

 

I legally REPRESENT an involved person

 

I was injured

 

OTHER (explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I was NOT involved in the accident AND I do not legally represent an involved person

 

 

 

 

 

 

 

 

 

I am an authorized representative of any insurance carrier reasonably anticipating exposure to civil liability as a consequence of the accident or to which the person has applied for issuance or renewal of a policy of automobile insurance

IMPORTANT NOTE: The Department may only release a full accident report to a person involved in the accident, or their legal or personal representative, in accordance with Virginia Code § 46.2-380. All other requesters are entitled to receive only the name and addresses of the drivers, the owners of the vehicles involved, the injured persons, the witnesses, and one investigating officer, in accordance with Virginia Code § 46.2-379.

CRASH DATE (mm/dd/yyyy)

TIME OF CRASH

CRASH LOCATION (highway or street name)

CITY/COUNTY/TOWN WHERE CRASH OCCURRED DRIVER FULL NAME (last, first, mi, suffix)

DRIVER LICENSE NUMBER

 

1.

PASSENGER/PEDESTRIAN FULL NAME (last, first, mi, suffix)

2.

PASSENGER/PEDESTRIAN FULL NAME (last, first, mi, suffix)

 

 

 

 

 

3.

PASSENGER/PEDESTRIAN FULL NAME (last, first, mi, suffix)

4.

PASSENGER/PEDESTRIAN FULL NAME (last, first, mi, suffix)

 

 

 

 

 

* Required by the State Comptroller for debt set-off collection purposes in accordance with Virginia Code §§2.1-196, 2.1-731, 2.1-734, et al.

Continues on Reverse Side

CRD 93 (07/01/2013)

INFORMATION REQUESTED (continued)

DECEDENT PHOTO REQUEST (requester MAY need to provide proof of death, i.e. copy of death certificate, executor papers, etc.)

DECEDENT FULL NAME (last, first, mi, suffix)

DECEDENT DMV CUSTOMER NUMBER

DECEDENT BIRTH DATE (mm/dd/yyyy)

Requester's relationship to decedent (check one):

 

Spouse

 

Executor

 

Child

 

Administrator

 

 

 

 

 

CERTIFICATION

I understand that it is unlawful to use information provided by DMV for any purpose other than the one stated. I certify that the information I have requested with this form will be used only for the stated purpose.

I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

I agree that the information I obtain in response to my request is considered privileged and confidential. I agree that such information is subject to the restrictions upon use and dissemination imposed by (1) the Federal Drivers Privacy Protection Act (18 USC § 2721 et seq.), (2) the Government Data Collection and Dissemination Practices Act (Va. Code § 2.2-3800 et seq.), (3) the provisions of Va. Code §§ 46.2-208 through 210, 46.2.212, and

58.1-3, and (4) any successor rules, regulations, or guidelines adopted by DMV with regard to disclosure or dissemination of any information obtained from DMV records or files, and I agree to comply with such restrictions and understand that any violation may result in damages, civil penalties, criminal penalties or other relief permitted pursuant to Virginia law.

REQUESTER SIGNATURE

DATE (mm/dd/yyyy)

OTHER INFORMATION (Be specific)

DMV CUSTOMER SERVICE CENTER USE ONLY

Proof of Requester's Identification

Proof of Requester's Organization Affiliation

 

Valid Driver's License Number ______________________

 

Request on Organization Letterhead Stationery

 

 

Business Card from Organization

 

 

 

Law Enforcement Badge Number ________________

Other Photo Identification _________________________

 

Other _________________________________

 

 

 

 

 

 

If referred to Headquarters to Fill Request, Complete:

Remarks/CSR Stamp

Fee Charged

CSR Name __________________________________________

 

 

$

 

 

 

CSC Name (not CSC number) ___________________________

 

 

 

 

 

 

 

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