Article Structure
The DO-21 form is an essential document used to request a driver history abstract from the New Jersey Motor Vehicle Commission (NJMVC). This form is necessary for individuals or entities that wish to acquire vital information about a driver's history, such as driving violations, accidents, and other relevant records. When applying, it’s important to note that each record request requires a separate submission of the form, which must be accompanied by an original signature. Applicants are permitted to photocopy the form for convenience; however, the completed requests should always include either a personal or business check and must never include cash. The document also stipulates specific sections that need to be filled out, including information about the applicant, details regarding the records requested, and the reason behind the request. For those requesting another individual’s records, the purpose must adhere to the guidelines set forth by New Jersey's Driver Privacy Protection Act. Additionally, the NJMVC advises applicants that processing requests typically takes about three to four weeks, making early submission a best practice. Despite the straightforward nature of the application, understanding its requirements and adhering to them is vital to ensure a smooth experience in obtaining the desired driver history information.
Do 21 Example
Driver History Abstract
Application Request
New Jersey Motor Vehicle Commission
Business & Government Services
225 East State Street
P.O. Box 142
Trenton, NJ
A separate form must be completed for each record requested. You may photocopy this form for your convenience; however, each request must bear an original signature of the applicant. No other form of request will be accepted. For applications other than official Government use, the proper fee(s) must accompany each request in the form of a check or money order payable to: “New Jersey Motor Vehicle Commission.” DO NOT SEND CASH. Please note that the turnaround time is approximately
*If you have any questions or need to obtain the status of a request sent by mail, please call
ALL APPLICANTS MUST COMPLETE SECTIONS A, B, C, AND E OF THIS FORM. COMPLETE SECTION D, IF APPLICABLE.
(Please print clearly)
SECTION A – Applicant's Information
Applicant’s Name:
Applicant Type: |
Individual/Business |
Government/Law Enforcement Entity |
Phone Number: |
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Business or Government/Law Enforcement Entity Name (if applicable): |
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Street Address: |
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City: |
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State: |
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Zip Code: |
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Applicant Driver License Number or Government Issued ID Number (Please include a photocopy of your ID):
For Government or Law Enforcement Applicants: Please include a copy of your current Government issued Identification Card. Otherwise,
include a photocopy of your Driver License or a photocopy of a Passport, Birth Certificate, or any valid state or federally issued ID.
SECTION B – Information Requested
NJ Driver License Number (If you do not have the Driver’s License number, you MUST supply name, DOB, gender, and address):
Name: |
Date of Birth: |
M(Male) |
F(Female) X(Unspecified) |
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Street Address: |
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SECTION C - Records Requested (Check all that apply and include the specific date you want covered for each record if |
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applicable) |
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Certified Complete Driver History Abstract $15 |
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Certified 5 Year Driver History Abstract $15 |
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Order of Suspension $15 |
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Date(s): |
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Schedule of Suspension $15 |
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Restoration Notice $15 |
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Mailing List $15 |
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Summons $15 |
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Date(s): |
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Accident Report $5 |
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Date(s): |
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** IF YOU REQUIRE THE ISSUE DATE OF YOUR LICENSE, YOU MUST SUBMIT THE
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Visit us at www.NJMVC.gov |
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New Jersey is an Equal Opportunity Employer |
Page 1 of 4 |
Driver History Abstract
Application Request
SECTION D – Purpose for the Request (required ONLY when requesting another’s record)
PLEASE READ THE BELOW SECTION OF THE NEW JERSEY DRIVER PRIVACY PROTECTION ACT, INITIAL NEXT TO THE PERMITTED USE(S) THAT APPLY TO YOUR SPECIFIC USE OF THE MVC RECORDS. THEN PROVIDE A WRITTEN EXPLANATION OF THE REASON FOR YOUR REQUEST AND INTENDED USE OF THE INFORMATION.
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USES PERMITTED BY N.J.S.A. |
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1. For use by any government agency including any court or law enforcement agency carrying out its functions, or any private person |
or entity acting |
on behalf of a Federal, State, or local agency in carrying out its functions. |
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If acting on behalf of a Federal, State, or Local agency, please include a copy of an individual release consent form, the agreement |
with the client, |
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or other proof that you have been retained to conduct an investigation. |
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2. For use in connection with matters of motor vehicle or driver safety and theft; motor vehicle emissions; motor vehicle product alterations, recalls or advisories; performance monitoring of motor vehicles; motor vehicle parts and dealers; motor vehicle market research activities, including survey research; and the removal of
Please include the documentation supporting your request if the information is to be used for motor vehicle emissions, recalls, or advisories, etc.
3. For 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 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 purposes of preventing fraud by pursuing legal remedies against or recovering on a debt or security interest against the individual.
Please include a copy of the individual release consent form.
4. For use in connection with any civil, criminal, administrative or arbitral proceeding in any Federal, State, or Local court or agency or before any self- regulating body, including service of process, investigation in anticipation of litigation, and the execution or enforcement of judgements and orders, or pursuant to an order of a Federal, State, or Local court.
Please include the Docket number and a letter from the client confirming that you have been retained. Please provide an explanation if no Docket number has been assigned. If no Docket number is available, please submit the case file number on Attorney letterhead and include a copy of the accident report.
5. For use in educational initiatives, research activities, and for use in producing statistical reports, so long as the personal information is not published, redisclosed, or used to contact individuals and, in the case of educational initiatives, only organ procurement organizations as aggregated,
Please include a description of the initiative or research on official letterhead.
6. For use by an insurer or insurance support organization, or by a
Please include supporting documents for intended use. |
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7. For use in providing notice to the owners of towed or impounded vehicles. |
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Please include proof of authorization to tow or impound vehicles. |
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8. For use by an employer or its agent or insurer to obtain or verify information relating to a holder of a commercial driver’s license that |
is required |
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the “Commercial Motor Vehicle Safety Act,” 49 U.S.C. App. §2710 et seq. |
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Please include a copy of an individual release consent form, a copy of the insurance policy, and a copy of the agreement if done on |
behalf of a |
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client. |
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9.For use in connection with the operation of private toll transportation facilities.
If your request does not fall under one of the above reasons:
10.For use by any applicant, if the applicant demonstrates it has obtained the notarized written consent of the individual to whom the information
pertains.
*Please note: If you selected number 10, a “Notarized Authorization to Release Personal Motor Vehicle Information” (Form BGS/DO- 21A) must be submitted and will not be accepted unless it is acknowledged by a Notary Public or Attorney at Law.
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Visit us at www.NJMVC.gov |
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New Jersey is an Equal Opportunity Employer |
Page 2 of 4 |
Driver History Abstract
Application Request
Explanation of reason
Please explain in detail your reason for requesting this information and how you plan to use it. If involving a lawsuit, please state the type of lawsuit and your relationship to the case.
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Visit us at www.NJMVC.gov |
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New Jersey is an Equal Opportunity Employer |
Page 3 of 4 |
Driver History Abstract
Application Request
SECTION E – Terms and Conditions
The disclosure and use of personal information * contained in the record you have requested is governed by the “New Jersey Drivers’ Privacy Act” (NJDPPA), N.J.S.A.
*“Personal Information” means information that identifies an individual, including an individual’s photograph; social security number; driver identification number; name; address other than the
I hereby certify that the foregoing statements and submitted supporting documents are true. I understand that if any of the statements or submitted supporting documents are willfully false, I am subject to punishment. I have read N.J.S.A.
I agree to hold the New Jersey motor Vehicle Commission (NJMVC) harmless in the event of any errors or omissions in the record and document(s) furnished under this application.
If I am requesting another’s record, I certify that:
1.Use of the information provided by the NJMVC pursuant to this Application will only be for the purposes explicitly set forth in this Application;
2.The information provided by the NJMVC pursuant to this Application will not be used for the purpose of commercial solicitation or marketing, political canvassing or campaigning or any similar purpose or objective, and I shall not provide such information to any person or entity that seeks to use such information for any of these purposes;
3.If the information requested is to be used “in anticipation of litigation,” pursuant to N.J.S.A.
4.In the event of a breach of any of the security obligations or other event requiring notification under applicable law, I shall comply with all applicable State and Federal laws that require notification of individuals in the event of unauthorized release of Person Information, or other event requiring notification, and assume responsibility for informing the NJMVC within
____________________________________________ |
___________________________________________ |
Signature of Applicant (original signature only – signature |
Date |
Stamps are unacceptable) |
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Visit us at www.NJMVC.gov |
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New Jersey is an Equal Opportunity Employer |
Page 4 of 4 |
Form Characteristics
| Fact Name | Description |
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| Governing Law | The DO-21 form is governed by New Jersey law, specifically the New Jersey Drivers’ Privacy Act (N.J.S.A. 39:2-3.3 et seq.). |
| Purpose of Request | This form is used to request a driver history abstract from the New Jersey Motor Vehicle Commission. |
| Signature Requirement | Each request must have an original signature. Photocopied signatures are not acceptable. |
| Fees | Different types of records requested incur varying fees, for instance, a certified complete driver history abstract costs $15. |
| Processing Time | The estimated turnaround time for processing requests is approximately 3 to 4 weeks. |
| Section Completeness | Applicants must complete sections A, B, C, and E. Section D is only necessary if applicable. |
| Permitted Uses | The information obtained may only be used for specific purposes defined by New Jersey law, including government, safety, or legitimate business needs. |
Guidelines on Utilizing Do 21
Once you have the DO-21 form ready, follow the instructions carefully to ensure accuracy and compliance. Your completed form, accompanied by any necessary documents and fees, will be sent to the New Jersey Motor Vehicle Commission. This process typically takes about 3-4 weeks. Be sure to double-check that you have included an original signature, as photocopies are not accepted.
- Print out the DO-21 form clearly.
- Fill out Section A with your personal information. This includes your name, type (Individual/Business or Government), phone number, and address. If applicable, include the name of your business or government entity.
- Provide your driver license number or government-issued ID along with a photocopy of the ID.
- In Section B, fill in the information of the individual whose record you want to access. Ensure you include their name, date of birth, gender, and address if you do not have their NJ Driver License number.
- Check all applicable records you wish to request in Section C. Note the specific dates for each record if required. Be prepared to pay appropriate fees for each request.
- Complete Section D if you are requesting someone else's record. Initial next to the permitted use(s) and provide a detailed explanation of your reason for the request.
- In Section E, read the terms and conditions carefully. Sign the form where indicated, ensuring you provide an original signature—no stamps.
- Gather any supporting documentation required for your request as stated in the specific sections.
- Include a check or money order for the appropriate fees, made out to the New Jersey Motor Vehicle Commission. Do not send cash.
- Mail the completed form and the necessary documents to the address provided on the form: 225 East State Street, P.O. Box 142, Trenton, NJ 08666-0142.
- Keep a copy of your completed form and any submitted documents for your records.
What You Should Know About This Form
What is the DO-21 form?
The DO-21 form is an application used to request a Driver History Abstract from the New Jersey Motor Vehicle Commission (MVC). It allows individuals, businesses, and government agencies to obtain driving records, which can include information such as accident reports, suspension notices, and more. Each request for a record requires its own completed form with an original signature.
Who can request information using the DO-21 form?
Any individual, business, or government entity can use the DO-21 form to request motor vehicle records. However, when applying for someone else's records, the requester must provide a legal explanation for the request and comply with privacy regulations. It's crucial to gather the appropriate identification and documentation based on the type of requester.
How do I submit the DO-21 form?
You can submit the DO-21 form by mailing it to the address indicated on the form: New Jersey Motor Vehicle Commission, Business & Government Services, 225 East State Street, P.O. Box 142, Trenton, NJ 08666-0142. Be sure to include the correct fee, which should be paid by check or money order made out to the New Jersey Motor Vehicle Commission. Do not send cash.
What information do I need to provide on the form?
You'll need to complete several sections on the form. This includes your personal information such as name, address, and phone number, as well as specific details about the records you're requesting like the type of record and relevant dates. It's essential to print clearly and provide accurate information to avoid delays.
What are the fees associated with the DO-21 form?
The fees vary depending on the type of record you are requesting. For example, a Certified Complete Driver History Abstract or a Certified 5 Year Driver History Abstract typically costs $15 each. Accident Reports are $5, and other specific records have varying fees. Ensure that you include the correct fees with your application to avoid processing delays.
What should I expect after submitting the DO-21 form?
The processing time for requests submitted via the DO-21 form is approximately 3-4 weeks. If you wish to check on the status of your request, you can call 609-292-6100 for assistance. Make sure to keep a record of when you sent your application, so you can provide details if needed.
What are the consequences of misusing information obtained from the DO-21 form?
Using the information from the DO-21 form incorrectly can lead to serious legal consequences. Under the New Jersey Drivers’ Privacy Act, anyone who knowingly obtains or discloses information for unpermitted uses may be guilty of a crime and can face civil action. It’s important to understand and comply with the permitted uses outlined on the form to avoid these penalties.
Common mistakes
Filling out the DO-21 form can seem straightforward, but there are common mistakes that applicants often make. One widespread error is failing to provide the required original signature. Each request must have an original signature; photocopies are not acceptable. This simple oversight can lead to significant delays in processing the application.
Another frequent issue arises in Section A, where applicants must fill out their personal information. Some individuals neglect to list their Driver License Number or Government Issued ID Number. This information is essential, and omitting it can result in the application being returned. Ensuring that all requested identifiers are included is important to avoid processing setbacks.
Section B may confuse applicants, particularly regarding the need to provide specific information. For those without a driver’s license number, the form requires the applicant’s full name, date of birth, gender, and address. Mistakes in any of these details can cause problems, so it’s crucial to double-check the information for accuracy.
Many people mistakenly overlook Section C, where applicants must specify the types of records they are requesting. A common error is failing to check the relevant boxes or not entering the dates as required for each record. This can lead to incomplete requests, meaning the application could be held up or rejected entirely.
In Section D, where the purpose of the request is outlined, applicants sometimes forget to provide a detailed explanation of their reason for needing the record. This detail is required, especially when requesting someone else’s record. Without this explanation, the application might not meet legal criteria and could be denied.
Additionally, applicants often do not read the terms and conditions carefully in Section E. This section outlines the legal implications of misusing the information. Failure to understand these terms can lead to unintended legal consequences for the applicant. Awareness of what constitutes permissible use of the requested data is crucial.
A final common mistake is sending the application without the proper payment. The form specifies that the requests must be accompanied by a check or money order made out to the New Jersey Motor Vehicle Commission. Applications that include cash will not be processed, so it’s vital to adhere to the stated payment guidelines.
Addressing these common errors can significantly improve the chances of successfully obtaining a driver history abstract without unnecessary delays. Taking the time to review each section carefully and ensuring all requirements are met will streamline the process effectively.
Documents used along the form
The Do 21 form is an essential document for anyone seeking a driver history abstract from the New Jersey Motor Vehicle Commission. However, several other forms may accompany it to complete the request process or to meet specific requirements. Below is a list of these documents, along with brief descriptions of their purposes.
- DO-11 Form: This form is required if an applicant wants to obtain the issue date of their driver's license. It serves as an official request to access this specific piece of information.
- BGS/DO-21A Form: This notarized authorization form is necessary for an applicant who wishes to obtain personal motor vehicle information pertaining to another individual. It ensures that consent has been granted for the release of that information.
- Government-Issued Identification: Applicants, especially those representing government or law enforcement entities, must include a photocopy of their current government ID. This verifies their identity and authority to request sensitive information.
- Individual Release Consent Form: This document is essential when a legitimate business or entity is verifying the accuracy of personal information. It signifies that the individual has consented to the release of their information.
- Accident Report (MV-104): This form may need to be completed if an accident report is included in the record request. It serves to document the specifics surrounding a vehicular incident.
- Verification Letter: In cases involving litigation, a letter from the client is necessary to confirm that the applicant has been retained. This supports the request for accessing another’s driving record for legal purposes.
Each of these documents plays a crucial role in ensuring that requests for driver history abstracts are handled appropriately and in compliance with regulations. Understanding their purposes can help applicants navigate the process more effectively and assure compliance with privacy laws.
Similar forms
- DO-11 Form: This form is required to obtain the issue date of a driver's license. Just like the Do 21, it necessitates original signatures and specific personal details from the applicant.
- Request for Driving Record: Similar to the Do 21, this document requests information about a driver's history. It typically requires the applicant's identification details and purposes for the request.
- Vehicle Registration Application: This form also requires personal information and serves to verify identity. Both documents are essential for maintaining accurate records in state databases.
- Motor Vehicle Accident Report Request: Requesting an accident report shares similarities with the Do 21 in that it needs a clear statement of purpose and identification of the individual requesting the information.
- Driver's License Renewal Application: Just like the Do 21, this application collects personal details and requires verification. It ensures that only accurate and up-to-date information is processed for licensing requirements.
Dos and Don'ts
When filling out the Do 21 form, it is essential to follow certain guidelines to ensure your application is processed correctly.
- Do print clearly in all sections of the form.
- Do include an original signature with your application.
- Do attach the appropriate fee in the form of a check or money order.
- Do photocopy the form for your records before submitting it.
- Don't submit cash with your application.
- Don't leave any required sections blank; complete sections A, B, C, and E.
- Don't forget to provide necessary identification documents as specified.
- Don't use a signature stamp; only original signatures are accepted.
Misconceptions
Misconception 1: Anyone can request a driver history abstract without restrictions.
This is incorrect. Only individuals or entities that meet specific criteria can access another person’s driver history. The request must align with the purposes outlined in the New Jersey Driver Privacy Protection Act.
Misconception 2: You can submit the DO-21 form without any collateral documentation.
This is not true. The form requires additional documentation, including a photocopy of government-issued ID or other relevant identification, depending on the applicant's status. Incomplete submissions will be rejected.
Misconception 3: Cash can be used to pay the fees for record requests.
On the contrary, payment must be made via check or money order. Cash is explicitly prohibited to ensure financial security and proper record-keeping.
Misconception 4: All sections of the DO-21 form can be left blank if they do not apply.
This is misleading. Applicants must complete sections A, B, C, and E fully. Section D is only required if the records being requested belong to another individual. Incomplete forms may lead to delays or denials.
Misconception 5: You will receive a driver history abstract immediately after submitting the form.
This is false. The turnaround time for processing requests is typically around 3-4 weeks. Applicants should plan accordingly and not expect immediate results.
Key takeaways
Understanding how to properly fill out and use the Do 21 form for obtaining a driver history abstract is essential. Here are some key takeaways to keep in mind:
- One form per record: Each record request requires a separate Do 21 form. Photocopying the form is allowed, but an original signature must accompany each request.
- Fees must be included: If you're not a government entity, always attach the appropriate fees in the form of a check or money order payable to the New Jersey Motor Vehicle Commission. Remember, cash will not be accepted.
- Processing time: After submitting the request, be aware that the turnaround time for processing is approximately 3-4 weeks. Patience is important during this period.
- Be thorough: Ensure you fill out sections A, B, C, and E completely. If applicable, complete section D as well. Clear printing is vital to avoid any confusion.
By following these guidelines, you can streamline the process of obtaining crucial driver history information. It’s important to ensure all information is accurate and complies with the legal requirements outlined in the New Jersey Drivers' Privacy Act.
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