Dld60 Form PDF Details

Understanding the intricacies of the DLD60 form is critical for those seeking to obtain their personal driving records in the state of Utah. This form serves as an official request for a Motor Vehicle Record (MVR), designed for individuals wishing to access their own driving history or their Commercial Motor Vehicle Driver Record (CDL-MVR) as per the regulations outlined in Utah Code Ann. § 53-3-104 and § 53-3-420 respectively. It is crucial that the form is filled out by the subject of the record, with required information such as name, date of birth, license number, contact details, and mailing address being clearly provided. Additionally, the form carries a certification statement, emphasizing the legal commitment of the requester to use the obtained personal information responsibly and in alignment with the Data Protection Privacy Act (DPPA) and the Government Records Access and Management Act (GRAMA). By signing this form, the requester also acknowledges the associated fee and specifies the type of driving record needed, whether it's the regular MVR detailing convictions and suspensions over the past three years and alcohol/drug-related offenses over the past ten years, or a CDL-MVR for those holding a commercial driver's license, encompassing all records of convictions, suspensions, and other relevant driver information. The DLD60 form thus stands as a vital tool for drivers in Utah to maintain, verify, and protect their driving history.

QuestionAnswer
Form NameDld60 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
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Form Preview Example

REQUEST FOR MVR

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. The form shall only be completed by the subject of

the record.

SUBJECT OF THE RECORD

Please type or print all information.

Subject of the record _______________________________ 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)

□ Fee of $6.00 enclosed.

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 COMMERICAL 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

DLD60

Rev. 3-12