Vtr 275 Form – Fill Out and Use This PDF

Request for Texas Motor Vehicle Information

Permitted Use – Sign or print your initials on the appropriate line for your use of the requested information.

Choose one of the following options.

1. I am the current recorded owner or lienholder of the vehicle;

2. Written authorization is attached from the person(s) listed as the recorded owner, lienholder or previous owner; or

3. My authority to obtain vehicle information is for the permitted use noted below. I understand the use of the requested information is strictly limited to:

______ A governmental entity, including law enforcement (check applicable box):

A government agency, including any court or law enforcement agency, in carrying out its functions.

A private person or entity acting on behalf of a government agency in carrying out the functions of the agency.

______ Use in connection with one of the following (check applicable box):

Motor vehicle safety or motor vehicle operator safety.

Motor vehicle theft.

Motor vehicle emissions.

Motor vehicle product alterations, recalls or advisories.

Performance monitoring of motor vehicles, motor vehicle parts, or motor vehicle dealers.

Motor vehicle market research activities, including survey research.

Removal of non-owner records from the original owner records of a motor vehicle manufacturer to carry out the purposes of the Automobile Information Disclosure Act, the Anti Car Theft Act of 1992, and the Clean Air Act.

For child support enforcement.

Enforcement by the Texas Workforce Commission.

Voter registration or the administration of elections by the secretary of state.

______ Use in the normal course of business by a legitimate business or its authorized agent, but only to verify accuracy of personal

information submitted by the individual; and, if the information is not correct, to obtain the correct information for the sole purpose of preventing fraud by, pursuing a legal remedy against or recovering on a debt or security interest against the individual. (Requestor must submit the information to be verified against the department’s records.)

______ In conjunction with a civil, criminal, administrative or arbitral proceeding in any court or government agency or before any

self-regulatory body, including service of process, investigation in anticipation of litigation, execution or enforcement of a judgment or order, or under an order of any court. (Requestor must submit proof of legal proceeding or proof of anticipated proceeding.)

Use in research or in producing statistical reports, but only if the personal information is NOT published, redisclosed, or used to contact any individual. (Requestor must submit proof of employment in a research occupation.)

Use by an insurer or insurance support organization, a self-insured entity or as an authorized agent of the entity in connection with claims investigation activities, antifraud activities, rating or underwriting. (Requestor must submit a license number provided by the Texas Department of Insurance or out-of-state equivalent, a license number the insurance support organization is working under, or proof of self-insurance. License Number: _________________________)

______ Use in providing notice to an owner of a towed or impounded vehicle. (Requestor must submit a license number provided by

the Texas Department of Licensing and Regulation or out-of-state equivalent. License Number: _________________________)

______ Use by a licensed private investigation agency or licensed security service authorized to use the information for a permitted

purpose. (Requestor must submit a license number provided by the Texas Department of Public Safety or out-of-state equivalent. License Number: __________________________)

______ Use in connection with the operation of a private toll transportation facility. (Requestor must submit documentation to relate

the requested personal information with operation of a private toll transportation facility.)

______ Use by a consumer reporting agency, as defined by the Fair Credit Reporting Act, for a purpose permitted under that Act.

(Requestor must submit documentation on official letterhead indicating a permitted use for personal information as defined by the Fair Credit Reporting Act.)

Resale and Redisclosure

Motor vehicle record information obtained by an authorized recipient for a permitted use may not be resold or redisclosed unless the information is provided to other authorized recipients and used only for the permitted use. Information obtained as a result of this request may not be resold or redisclosed in the same or substantially identical format as it is received from the TxDMV. Any original recipient is responsible for misuse of the motor vehicles records, regardless if they approved or were aware of subsequent transfers of the information.

An authorized recipient who resells or rediscloses motor vehicle records is required to maintain records of that transaction for a period of not less than five years. The department has the authority to request and review records kept by all authorized recipients. For further information regarding resale and redisclosure requirements, refer to the Texas Administrative Code, Rule §§217.127 and 217.128.