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User Manual: 48
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CERTIFIED COURT PRINT with CDL MEDICAL CERTIFICATION
INFORMATION = MAY INCLUDE MORE THAN FIVE YEARS OF
RECORD INFORMATION. - $3.00
REQUEST FOR DRIVING RECORD*
REQUESTOR’S DMV ACCOUNT NUMBER DATE OF REQUEST
PRE-ADDRESSED -- FOLD AND MAIL IN STANDARD #10 WINDOW ENVELOPE
k
DR NON-EMPLOYMENT DRIVING RECORD = 3 -YEAR RECORD - $1.50
735-48 (11-15)
CP
MQ
CERTIFIED COURT PRINT = THIS OPTION MAY INCLUDE MORE
THAN FIVE YEARS OF RECORD INFORMATION. - $3.00
DE EMPLOYMENT DRIVING RECORD = 3 -YEAR RECORD - $2.00
DI DRIVER ADDRESS INFORMATION - $1.50
CS SUSPENSION PACKAGE - $11.50
AUTOMATED REPORTING SYSTEM - $2.00
ARS
DMV SERVICES
1905 LANA AVE NE
SALEM OR 97314-2340
ADD DELETE
OPEN-ENDED NON-EMPLOYMENT DRIVING RECORD - $1.50
(Only available to insurers and insurance support organizations)
RETURN INFORMATION BY:
COMPANY
STREET ADDRESS
CITY, STATE, ZIP CODE
DRIVER’S NAME
(LAST, FIRST, MIDDLE) – FOR SUSP. PACKAGE (CS) ONLY –
ARREST DATE
DATE OF BIRTH
(MONTH-DAY-YEAR)
ODL / CUSTOMER NUMBER
1
10
9
8
7
6
5
4
3
2
DO
COURT DATE: ______________________________
NOTE: See DMV form # 735-6691 for additional record types
POLICE TRAFFIC CRASH REPORT RECORD - $8.50
(For PA Requests see important information below.)
PA
An $8.50 fee will be charged even when the DMV Police Traffic Crash Report can not be found. If the information below is not provided, your request will not
be processed and returned back to you. For Accident Information Letters, you must attach a statement of representation and how your client was involved.
Requests for police reports regarding automobile accidents must contain the following information:
Date of Accident: _____________________
County (or nearest city if county unknown): ________________________________
Driver Information (name, date of birth, Oregon license number if available): ________________________
ATTENTION
MAIL FAX #
( )
COMPANY NAME:
*This form can ONLY be used by DMV account holders. If you do not have a Records Inquiry Account with DMV,
please use DMV form titled Order Your Own Record (form number 735-7266).
OTHER (Specify): ____________________________
Please Note: If more than 30 records are requested during one business day,
your records will automatically be mailed to the mailing address associated
with your account.
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
DMV
