Insurance Information Request-Accident Case - Arizona Department - azdot 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Requester Information section. Provide your full name, driver license number or other ID, daytime phone number, and mailing address including city, state, and zip code.
3. In the Vehicle Record section, specify at least one Primary Criteria such as Arizona License Plate Number or Vehicle Identification Number. If applicable, include the owner's full name and accident date.
4. Check at least one permissible use on the back of the form. Ensure you understand the requirements under the DPPA for accessing MVD records.
5. Attach a check or money order for $3.00 made payable to the Motor Vehicle Division along with an accident report from law enforcement that identifies involved parties and vehicles.
6. Sign and date the certification section, ensuring all information is accurate before submitting your request.

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