Dppa permissible use 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Requester Information section. Enter your name, telephone number, and address details accurately. If your mailing address differs, provide that information as well.
3. In the 'Requestor is acting on behalf of' field, specify the name of the Federal, State, or local agency you represent.
4. Next, move to the Record Information section. Indicate the type of record you are requesting (e.g., MV4000 or Incident Report) and provide any relevant details such as the name of the record subject and incident number if known.
5. In the Authorized Use section, certify your authorization to obtain and use the records for permissible purposes as outlined under 18 U.S.C. § 2721(b)(1).
6. Finally, complete the Certification section by signing and dating the form to confirm that all provided information is true and complies with DPPA regulations.

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