Tc 96 16A Form PDF Details

In the realm of motor vehicle or boat transactions and oversight, the Kentucky Transportation Cabinet's TC 96-16A form stands out as an essential document that navigates the delicate balance between public access to information and individual privacy rights. Introduced in March 2010 and rooted in the directives of the Driver’s Privacy Protection Act of 1994, this form embodies a structured request for obtaining vehicle or boat records, which notably include personal information. By providing a methodical approach—detailing the type of requested records such as title history or current ownership, and pinpointing the very vehicle or boat through identifiers like the VIN or HIN number—the form caters to an array of users from varied sectors. With sections delineating the usage intention, whether for commercial purposes requiring an attached certified statement, or for non-commercial endeavours, alongside a nominal fee, the TC 96-16A form underscores a comprehensive compliance framework. This meticulously designed form not only safeguards personal information in line with federal law but also facilitates the legitimate need for such data in instances ranging from business verification processes to legal, research, insurance, and investigative activities, thereby encapsulating the multifaceted requirements and responsibilities ingrained in the access to motor vehicle or boat records.

QuestionAnswer
Form NameTc 96 16A Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesrequester, tc 96 16a, form tc96 16a, KRS

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Kentucky Transportation Cabinet

TC 96-16A

Division of Motor Vehicle Licensing

03/2010

 

REQUEST FOR MOTOR VEHICLE OR BOAT RECORD THAT

INCLUDES PERSONAL INFORMATION

Driver’s Privacy Protection Act of 1994 Section 2721

Mail to:

PO Box 2014, Frankfort KY 40601-2014

I ________________________________, on behalf of _______________________ hereby request the following:

Title History

Current Owner

Other (Specify) ______________________________________

VIN OR HIN Number: ________________________ Title ____________________ License Plate _____________

The requested records are to be used for:

Commercial Purpose [please attach a certified statement explaining the commercial purpose for which the

records shall be used in accordance with KRS 61.874 (4)(b)] Non-Commercial Purpose. A fee of $3.00 per record requested is required with this completed form. Please make your check or money order payable to the Kentucky State Treasurer.

Please place initials beside box you checked.

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For the use in the normal course of business by a legitimate business or its agents, employees, or contractors, but only: (a) to verify the accuracy of personal information submitted by the individual to the business or its agents, employees, or contractors; and (b) if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the purpose of preventing fraud by pursuing legal remedies against, or recovering on a debt or security interest against the individual.

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For use in connection with any civil, criminal, administrative, or arbitral proceeding in any federal, state, local court or agency before any self-regulatory body, or in pursuant to an order of a federal, state, or local court.

For use in research activities, and for use in producing statistical reports, so long as the personal information is not published, re-disclosed, or used to contact individuals.

For use by any insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or contractors, in connection with claims investigation activities, antifraud activities, rating, or underwriting.

For use by any licensed investigative agency or licensed security service for any purpose permitted under this federal law.

For use by any requester, if the requester demonstrates he/she has obtained the written consent of the individual to whom the information pertains.

Pursuant to section 2722 of the Driver’s Privacy Protection Act of 1994, it is unlawful for any person knowingly to obtain or disclose personal information from a motor vehicle record, for any use not permitted under section 2721 (b) of the Act. I certify that this release of information is permissible for the reason checked above and will be used only as indicated. The undersigned takes full responsibility for any violations of this Act.

____________________________________________________________

_________________________________________________________

Printed name of Person Making Request

 

Signature

Date

____________________________________________________________

STATE OF _____________________________________

Address

 

 

 

 

____________________________________________________________

County of ______________________________________

City

State

Zip Code

 

 

________________________________________________

Signed and sworn before me this ___ day of _______ 20 _______

Telephone number

 

 

 

 

__________________________________________________________

Notary Public

My Commission expires: ______________________________________