735-7266 (3-24)
ORDER YOUR OWN RECORD
This form can be used to order your own record by mail from DMV Headquarters. You can also order
your own driving records online at DMV’s web portal: DMV2U.Oregon.gov. Records ordered using this
form are mailed to you at your address shown on DMV’s record unless you indicate otherwise. You must
include enough information in your request to verify your identity, such as: date of birth, place of birth,
address on record, mother’s maiden name. If you are requesting a record that contains another
person’s personal information (such as a title history or vehicle sold indicator), the other
person’s information will be sanitized. Please note that DMV will not certify documents that have
been sanitized.
MAIL REQUEST TO: DMV RECORDS SERVICES, 1905 Lana Ave NE, Salem OR 97314
Please call Records Services at 503-945-5475 or email
[email protected] with questions regarding this form.
A CHECK OR MONEY ORDER, PAYABLE TO “OREGON DMV”
For a complete list of fees and records (refer to Form 735-6691) www.oregondmv.com
SPECIAL INSTRUCTIONS:
NAME OF INDIVIDUAL
TELEPHONE NUMBER (INCLUDE EXT. IF ANY)
EMAIL ADDRESS (Records cannot be emailed)
( )
ADDRESS
ADDRESS TO MAIL TO (IF DIFFERENT)
STATE ZIP CODE
ZIP CODE
CITY
CITY
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM / DD / YYYY)
MOTHER'S MAIDEN NAME
PLACE OF BIRTH (i.e. CITY, STATE)
PLATE NUMBER
VIN (VEHICLE IDENTIFICATION NUMBER)
FAX NUMBER (IF YOU WANT YOUR RECORDS RETURNED TO YOU BY FAX)
( )
TYPE OF RECORD REQUESTED
STATE
DATE
X
SIGNATURE
NON-EMPLOYMENT DRIVING RECORD = 3 YEAR RECORD $1.50
DR
EMPLOYMENT DRIVING RECORD = 3 YEAR RECORD $2.00
DE
DRIVER LICENSE INFORMATION $1.50
DI
OPEN-ENDED NON-EMPLOYMENT DRIVING RECORD $1.50
DO
CERTIFIED COURT PRINT = THIS OPTION MAY INCLUDE
MORE THAN FIVE YEARS OF RECORD INFORMATION $3.00
CP
VEHICLE RECORD PRINT $4.00
VR
VEHICLE TITLE HISTORY $22.50
VH
PREVIOUS OWNER INFORMATION $14.00
VO
VEHICLE SOLD NOTICE $4.00
PA
POLICE TRAFFIC CRASH REPORT $8.50
VP
OTHER:______________________________________
COUNTY:_________
CERTIFIED COURT PRINT with CDL MEDICAL CERTIFICATION
INFORMATION = MAY INCLUDE MORE THAN FIVE YEARS OF
RECORD INFORMATION $3.00
MQ
VEHICLE INSURANCE INFORMATION $10.00
II
CRASH DATE:__________
(If you order the VH, you do not need to order the VO)
Actual document (if available)
Letter Format
(The CP and MQ cannot both be ordered. The MQ already includes a CP.)
CLEAR FORM
Print
Includes convictions for major traffic offenses, commercial driver license entries, diversion agreements and alcohol
rehabilitation entries for at least ten years; convictions for minor offenses and accidents for at least five years.
Suspensions, cancellations and revocations also are included. May contain miscellaneous administrative entries, multiple
status entries and some out-of-state commercial entries. Entries shown on court print may exceed time periods listed due
to annual file purge scheduling.
CERTIFIED COURT PRINT
* – $3.00
Includes name, address, license number, date of birth, license type, license issue and expiration dates, original business
date, restrictions, endorsements, multiple status entries and ID card expiration date, if applicable. Information may be
provided by computer-produced certified print or orally (to account users). This information is available electronically to
DMV Record Inquiry Account holders through DMV's website. There is a .25 fee to view this information online.
Account holders will be charged .10 when no record can be found.
DRIVER LICENSE INFORMATION
* – $1.50
Contains the same information as a non-employment driving record but is not limited to three years. This record is only to
be used by insurers or insurance support organizations for the purposes of offering an insurance discount to an individual.
An individual may request his or her own insurance abstract to obtain an insurance discount under ORS 746.265(3).
OPEN-ENDED NON-EMPLOYMENT DRIVING RECORD
* – $1.50
Certified record includes Oregon accidents, diversion agreements, and convictions other than those in the employment
driving record for the last three years. Record may contain some commercial driver license entries, some out-of-state
commercial entries, miscellaneous administrative entries and multiple status entries.
NON-EMPLOYMENT DRIVING RECORD
* – $1.50
Contains the same information as a certified court print record but includes CDL medical qualifications.
CERTIFIED COURT PRINT with CDL MEDICAL CERTIFICATION
* – $3.00
* A $1.50 fee will be charged even when no record can be found.
Photocopy of Police Traffic Crash Report of accident that has been filed with DMV. The $8.50 fee is to cover the cost of
the record search and will be charged whether or not the record is found.
POLICE TRAFFIC CRASH REPORT
– $8.50
A search of DMV records to identify the insurance company and policy number for a vehicle or individual. Information may
be obtained from a vehicle registration renewal, a financial responsibility filing or information stored electronically, put into
certified letter format. NOTE: The $10.00 fee is to cover the cost of the record search and will be charged whether
or not records are found.
INSURANCE INFORMATION SEARCH – $10.00
Details of all title transactions dating back to when the vehicle was first titled in Oregon or to the extent DMV has kept
such records. Information includes but is not limited to owner information, vehicle description, odometer information (if
available), title status, title number, title issuance date and brand information. Information will be provided in a certified
letter format. A $2.50 fee will be charged even when no record can be found.
VEHICLE TITLE HISTORY – $22.50
Details of the last title transaction containing previous owner(s). Information will be provided in a certified letter format. A
$2.50 fee will be charged even when no record can be found.
PREVIOUS OWNER INFORMATION – $14.00
A certified vehicle record ordered by mail or online (online option is only available to Record Inquiry Account holders).
Records include vehicle description, registered owner and security interest holder information, odometer information (if
available) and other related information. A $2.50 fee will be charged when no record can be found.
VEHICLE RECORD PRINT
– $4.00
CP
DI
DO
Certified three-year record of Oregon employment-related convictions and accidents and commercial driver license
entries. May contain some out-of-state commercial entries, multiple status entries and miscellaneous administrative
entries. Will only include entries that occurred while a person was driving for employment purposes.
EMPLOYMENT DRIVING RECORD* – $2.00
DE
DR
MQ
PA
II
VR
VO
VH
