Free BDVR-153 Requesting Your Own Record - Michigan

A COPY OF YOUR OWN DRIVING RECORD CAN BE PURCHASED FOR $8.00 AT ANY SECRETARY OF STATE BRANCH OFFICE.
Please be sure to have sufficient identification when requesting a copy of your record.
Clear Form

MICHIGAN DEPARTMENT OF STATE - REQUESTING YOUR OWN RECORD
If you are requesting your own record information, please complete this form. If you are requesting records about someone other than yourself, use form BDVR 154, Record Lookup Request. Accurate and complete information will help us locate the record you are requesting. Even if no record is found, you are still responsible to pay the $7.00 lookup fee for each record requested. Driving records for a driver's personal use show all activity, including accidents where the driver was not at fault. Records produced for insurance, employment, or credit inquiries do not include certain administrative entries or accidents for which the driver did not receive a corresponding court conviction or civil infraction determination.

Section 1. Requestor's Information (Please print or type all information.)
If you require your information faxed or mailed to an address other than what is on your driving record with the Secretary of State, you must complete Section 5 on the reverse side of the form and check this box: Your Name (First, Middle, Last) Daytime Telephone Number

(
Current Street Address City State Zip Code

)

-

Section 2. Requesting Your Own Driving Record
Michigan Driver's License or Personal Identification Card Number Check boxes that apply: Driving Record for:
(Shows last reported address)

Date of Birth

Employment, Credit, or Insurance Court Other: ________________________________

Original License Issue Date Current Application Application History* For partial histories, please complete: from ______/______/______ to ______/______/______ Address History* Other Driving-Related Record(s) ___________________________________________________ Date ______/______/______
(Hearing, Offense, License Status, etc.)

Section 3. Requesting Your Own Vehicle Record
(If you only need your driving record, leave the vehicle information blank or you will be charged for both records.) License Plate or Vehicle Make and Model Vehicle or Hull Identification Number Registration Number Year Check boxes that apply: Current Vehicle Owner and Lienholder Information Registration Information as of ____/____/____ Copy of Current Title Application and Related Forms Complete Title History* Complete Registration History* Partial Title History* For partial histories, please complete: from ______/______/______ to Partial Registration History* Check box if you want:

______/______/______

All motor vehicles registered or titled under exact name and address listed in Section 1.** All other registered or titled assets under exact name and address listed in Section 1.**

* Buying a complete or partial title, application, and/or address history can be very expensive as records are retained for ten years. There is a $7.00 charge for each record lookup. Personal information on individuals other than yourself will be redacted (not revealed) from vehicle history records. If you need personal information on previous vehicle owners, you need to complete a BDVR-154 "Record Lookup Request" form.| ** For address searches not listed in Section 1, you will need to attach additional information and/or instructions. You will be charged for each record located. You will also be charged a lookup fee for any address search that finds no vehicles and/or assets at an address listed.

For Office Use Only
BDVR-153-WEB (02/08)

Section 4. Payment Method (Payment or credit card billing information must be included.)
The cost for each record looked up is $7.00. Each certified record provided is $8.00. Certified records will not be faxed. If "no record" is found, you are still responsible to pay $7.00 for each record lookup. Check or Money Order Certified record needed (Payable to "State of Michigan") ($1.00 additional per record) Name on Credit Card (PLEASE PRINT) Credit Card Discover MasterCard VISA Credit Card Account Number Expiration Date

If paying by credit card, I authorize charging the total amount to my credit card.

X___________________________________________
Signature of Cardholder

____ / ____ / ____
Date

Section 5. Special Delivery Instructions
If you want the record(s) sent to another person or company, complete this section. If address is the same as on the front, leave this section blank. Fax If the record is faxed and mailed, you will be charged for each delivery method. my record(s) as indicated below. Please Certified records will not be faxed. Mail Name Attention (if required) Mailing Address City Daytime Telephone Number Fax Number

(
State

)

-

(
Zip Code

)

-

Explain the reason why you need the record(s) sent to another person or to a company: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

Section 6. Requestor Certification (This section must be completed or request will not be processed.)
Explain the reason why you are requesting your own record information: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ I certify that I am requesting my own record information.

X___________________________________________
Signature of Requestor ­ form must be signed or request will not be processed.

____ / ____ / ____
Date

Penalties for Misuse: Under Michigan law, a person who makes a false representation or a false certification to obtain personal information or who uses personal information for a purpose other than a permissible purpose identified in law is guilty of a felony, which may be punishable by imprisonment for up to 5 years and/or a fine of up to $5,000. Subsequent convictions may result in imprisonment for up to 15 years and/or a fine of up to $15,000. Mail your completed request to: Michigan Department of State Record Lookup Unit 7064 Crowner Drive Lansing, Michigan 48918-1540 Call 517.322.1624 for help in completing this form. Completed requests may be faxed to 517.322.1181 but must be charged to a credit card.

www.Michigan.gov/sos
Printed under the authority of Public Act 300 of 1949, as amended (50,000, $650, $0.013)

BDVR-153 (02/08)