Fill ioNorth-Carolina-Division-of-MotorFill - North Carolina Division of Motor Vehicles Request for 2026

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4.8 out of 5

41 votes

The document is a request form for obtaining certified crash reports from the North Carolina Division of Motor Vehicles, governed by the Federal Driver’s Privacy Protection Act and state law. It outlines the restrictions on personal information disclosure, permissible uses of such information, and exceptions under which it can be released. The form requires the requester to provide personal details and acknowledge understanding of privacy regulations.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Name of Driver' and 'DL#' in the designated fields. Ensure accuracy as this information is crucial for processing your request.
Next, fill in the 'Date of Crash' and 'County of Crash'. Select the county from the dropdown menu provided.
Indicate your eligibility by checking either 'I am qualified to obtain this information for my own personal record' or specify which exception number you qualify under from the list on the reverse side.
Sign and date the document at the bottom. Include your full name, contact phone number, agency or company name, street address, city, state, and zip code.
Lastly, provide identification details in the specified section. Review all entries for completeness before submitting your request.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (41 Votes)
2017	3.7 Satisfied (28 Votes)
2011	4.2 Satisfied (35 Votes)
2005	4.6 Satisfied (50 Votes)

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tr 67 a

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