Unless you can meet the terms outlined above, your connections to the MVC database could be degraded and subsequently very slow.

ADDENDUM

To ensure that our users (connecting via the Internet) achieve optimum performance we

recommend

the following:

• A minimum connection speed of 56K regardless of the line (cable, dialup or DSL)

• Windows operating system Windows 7 or Vista, Browser internet explorer 8 or Chrome

Unless you can meet the terms outlined above, your connections to the MVC database could be

degraded and subsequently very slow.

INSTRUCTIONS FOR FORM OS/DS-19, APPLICATION FOR

ON-LINE ACCESS TO MOTOR VEHICLE RECORDS

1. Download and print form on white paper - Size 81/2 x 11

2. Be sure to include proper signature.

3. Return original application with original signature to address indicated on application form.

NOTE: Those requesting access to Title (Ownership) History (TOH) records should

review the TOH Approval Guidelines and submit all requested documentation.

(Information posted immediately after the OS/DS-19 Application

On the Road to Excellence Visit us at www.njmvc.gov

New Jersey is an Equal Opportunity Employer

Motor Vehicle

Commission

PO Box 122

Trenton, New Jersey 08666

STATE OF NEW JERSEY

HELPFUL HINTS FOR COMPLETING THE ONLINE

APPLICATION (OS/DS-19)

Company/Organization name on the application must be identical to the name found on

your credentials, including “INC.”, “LLC”, “LP”, etc. if applicable. Enclose a copy of your

credentials, i.e. certificate of incorporation, license or Business Registration form (for sole

proprietors who are not incorporated or not a limited liability corporation). If you are a

government entity, please enclose a cover letter on your official letterhead.

Be sure to indicate how many people (from your company/organization) will access MVC

records. If they require individual user Id’s and passwords list their names and job titles on

the reverse side of the application form, or in an attached letter. Please include a phone

number and/or e-mail address for each user.

Batch processing requires the ability on the user end to be able to create an input file of

multiple (250+) records containing DL #’s or Lic. Plate #’s as defined in the MVC User

manual. This file is transferred via the Internet for overnight processing. An output file is

created for the user to retrieve via the Internet the following morning. The User will have to

be prepared to process this file in some fashion to either print or display the records it will

contain in a readable format.

The account contact person will receive monthly account activity statements, and other

appropriate communications from MVC.

Be specific about your intended use, i.e. how will access to MVC database assist you with

your business practices. Specifically address each type of access that is being requested. For

example, “Driver History will be used to …..”; “Registration Inquiry is needed to ….”

Those requesting access to Title (Ownership) History (TOH) records should review the

TOH Approval Guidelines and submit all requested documentation.

If you answered Yes to the question “Are Motor Vehicle Commission records obtained to service

your clients?” you must provide a list of clients complete with name, address, phone number

and the client’s intended use. This is considered to be proprietary information and not subject

to Open Public Records Act (OPRA) N.J.S.A. 47:1A-1 et seq. (P.L. 2001 ch. 404).

Acceptable formats for electronic submission include Word or Excel. Acceptable media

includes floppy disk, CD, or as an attachment to an e-mail.

The above items are commonly omitted or improperly completed and leads to delays in

finalizing the application process. If you are unsure about how to complete one or more

portions of the On-Line application, please contact us at (609) 292-4572.

(R3/07)

Motor Vehicle

Commission

OS/DS-19 (R9/11) Page 1 of 2

State of New Jersey Business & Government Services P.O. Box 122 Trenton, NJ 08666-0122 Phone: 609-292-4572

Application for Online Access to Motor Vehicle Records

Please complete this form in its entirety for your request to be considered. Once completed, mail this

form to t he N J Motor Vehicle Commission, Business & G overnment Services unit at t he ab ove

address. You must also attach a copy of your Certification of Incorporation, if you are a Private

Investigator, a copy of your PI license is required. For more information, please see our “Helpful Hints”.

Please Check One: -New Application -Revised Application -Renewal Application-Online Account # _______________

Both pages 1 and 2 must be completed and submitted for your request to be considered. Signature is required on next page.

Company Name

Street City State Zip

Federal Tax ID Number Company Telephone Number

Nature of Business Activity

Do you do business under any other names?

-No -Yes (If yes, please list any other names)

In your own words, state your intended use of information obtained from the Motor Vehicle Commission (please be specific).

_____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________

________________________________________________________________________________________________________________ (Attach another sheet, if necessary)

&RQWDFW$GPLQLVWUDWRU Title/Position Held in Company Street City State Zip

'ULYHU/LFHQVH1XPEHUDaytime telephone number E-mail Address

Will you be requesting (please select one)? -Individual Requests or -Batch Requests (250+ = Batch)

Type of access required (select all applicable)? -Driver History -Registration Inquiry

-Title History -Title Inquiry -Driver Status

(Insurance Companies Only) (Rental Car & School Bus Companies Only) How will users access the MVC Online System?

-Office -Home -Both

Anticipated number of employees that will access information

Are Motor Vehicle Records obtained to service your clients? -No -Yes

Note: If answering yes, please provide a hardcopy list or electronic file that includes the following information: Client(s) name, address, phone number, and intended use.

New Jersey

Motor Vehicle Commission

C o mp an y In fo rm a ti o n A cce ss I nfo rm a tio n C o n tact

OS/DS-19 (R9/11) Page 2 of 2

CERTIFICATION OF APPLICANT

READ THE BELOW DRIVER PRIVACY PROTECTION ACT. INITIAL NEXT TO THE NUMBER(S) OF THE LAW THAT APPLIES TO YOUR SPECIFIC USE OF THE MVC RECORDS AND SIGN/DATE THE CERTIFICATION

Name and Title of Authorized Company Representative (please print or type)

USES PERMITTED BY N.J.S.A. 39:2-3.4(c)

___________ 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.

___________ 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 non-owner records from the original owner records of motor vehicle manufacturers.

___________ For use in the normal course of business by a legitimate business or its agents, employees or contractors, but only:

1. to verify the accuracy of personal information submitted by the individual to the business or its agents, employees or contractors; and

2. 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.

___________ 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-regulatory body, including service of process, investigation in anticipation of litigation, and the execution or enforcement of judgments and orders, or pursuant to an order of a federal, state or local court.

___________ For use in research activities, and for use in producing statistical reports, so long as the personal information is not published, redisclosed, or used to contact individuals.

___________ For use by any insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or contractors, in connection with claims investigation activities, antifraud activities, rating or underwriting. ___________ For use in providing notice to the owners of towed or impounded vehicles.

___________ 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 under the "Commercial Motor Vehicle Safety Act," 49 U.S.C. App. §2710 et seq.

___________ For use in connection with the operation of private toll transportation facilities.

I hereby certify that the foregoing statements and submitted list(s) are true to the best of my knowledge. I understand that i f an y of t he s tatements or s ubmitted l ist(s) ar e w illfully f alse, I am s ubject t o puni shment. I hav e al so r ead t he

“Driver’s Privacy Protection Act” N.J.S.A. 39:2-3.4(c) and I have initialed all that apply to my request for online access and that I will only use any personal information contained in records I have requested as permitted by the Act.

Name of Company (please print or type)

Signature of Authorized Company Representative (Original Signature Only. No Stamp Signature)

Date

STATE OF NEW JERSEY

TITLE (OWNERSHIP) HISTORY – APPROVAL GUIDELINES

It is MVC’s responsibility to ensure that the integrity of Title

(Ownership) History database is not compromised, therefore, approval of this

feature will only be granted when the following documentation is provided to

the MVC:

• An original letter from any/all Insurance Company(s) indicating that

you have been hired and/or authorized by them to conduct automobile

insurance fraud investigations

(a) The letter must be on the Insurance Company’s

letterhead signed by an executive of the company

• Completion of the enclosed Certification form

On the Road to Excellence www.njmvc.gov

New Jersey is an Equal Opportunity Employer

New Jersey

Motor Vehicle Commission

Trenton, New Jersey 08666-0681

STATE OF NEW JERSEY

NEW JERSEY MOTOR VEHICLE COMMISSION

CERTIFICATION FOR USE OF TITLE (OWNERSHIP) HISTORY

I certify that the Title (Ownership) History will only be used in conjunction with automobile insurance fraud

investigations on behalf of the insurance companies for which, ,

is entitled to do business as evidenced by letters supplied to MVC.

Name:__________________________________

(please print)

Signature__________________________Date:__________

(R08/06)

On the Road to Excellence www.njmvc.gov

New Jersey is an Equal Opportunity Employer

New Jersey

Motor Vehicle Commission

Trenton, New Jersey 08666-0122