Mva Form Is 117 PDF Details

Are you looking for an official copy of the MVA Form 117? Whether you need it to apply for a driver's license or any other MVA-related documents, having this form can help make the process simpler. Here at DMV information hub, we will provide everything you need to know about the MVA Form 117 and why it’s so important. We’ll explain what information is required on this form and how you can obtain an official copy quickly. Keep reading if you want to learn more!

QuestionAnswer
Form NameMva Form Is 117
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesservice upon mva, maryland 117 10, md is117, upon mva driver

Form Preview Example

MOTOR VEHICLE ADMINISTRATION

6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062

IS-117 (12-13)

Service of Process Upon MVA as Agent for Non-Resident Driver

This form may only be accepted at: MVA Investigations Division, Room # 53, 6601 Ritchie Highway, N.E., GlenBurnie, MD 21062, serviceofprocess@marylandmva.com

Name & Address of Party Seeking Service

 

Attorney’s Name & Address

 

 

 

 

 

 

 

 

 

Name of Court and Case Number

Court for

 

Case No.

Case Caption:

Name & Address of Party to be served:

Is this person a Non-Resident Driver? q Yes q No

(MVA may accept only if party is Non-Resident Driver)

Is this case related to an accident or collision involving a motor vehicle driven by the Named Non-Resident Driver?

q Yes q No

Date of Accident/Collision

(Must be on or after 10/1/08 for MVA to accept)

Certification of Last Known Address

The undersigned party, or party’s attorney, requesting service of process on the MVA as the agent for the Non-Res- ident Driver does hereby certify under penalties of perjury that the above address is the last known address of the Non-Resident Driver.

 

Party/Party’s Attorney

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

To be completed by MVA Investigations Personnel only

 

 

 

q Yes q No

 

 

• Is Service of Process (e.g., summons and complaint) paperwork complete?

 

 

Has the top part of this form been completed and signed?

q Yes q No

 

 

 

 

 

 

 

Did the accident or collision occur on or after October 1, 2008? q Yes q No

 

 

Is the person on whose behalf the party is seeking MVA to accept service a Non-Resident Driver? q Yes q No

 

 

If all answers are “Yes”, indicate approval for Finance/Cashier to accept payment:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized MVA Investigations Personnel (Print name and Sign)

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To be completed by Finance/Cashier—Accept payment only if approval signed above

 

 

Service of Process Fee ($61) Paid

 

Receipt #

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Finance/Cashier Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To be completed by MVA Investigations Personnel only

 

 

 

 

 

 

 

 

 

 

Service of Process Accepted: Date:

 

 

 

 

Time:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized MVA Investigations Personnel (Print name & Sign)

 

 

 

 

 

 

 

 

 

 

For more information, please call: 410-768-7000 (to speak with a customer agent).

TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov

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