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Get NE Application For Copy Of Driving Record 2021-2024

For what purpose will this record be used Number of applicable exempted use Required See reverse side for exempted uses. 13. Any use if the request for the record is made by the record holder. 14. For use by the federally designated organ procurement organization in Nebraska to establish and maintain the Donor Registry of Nebraska. Redisclosure A recipient of a motor vehicle record may only resell or redisclose the information obtained if for one of the uses permitted under the Uniform Motor Vehicle Records Disclosure Act. The undersigned hereby acknowledges that this request is made with the understanding that any person requesting disclosure of personal information from the Department of Motor Vehicles who misrepresents his or her identity misrepresents the purpose for which the information requested will be used or otherwise makes a false statement on the application shall be guilty of a class IV felony. 6. Use by any insurer/insurance support organization or by a self-insured entity in connection with claims investigation activities anti-fraud activities rating or underwriting. Please Print Your Name Phone Business Name if applicable Email Address City State Zip Under penalty of law the undersigned certifies that the information contained on the driving record being purchased will be used as authorized by the Uniform Motor Vehicle Records Disclosure Act. I record as described above. hereby authorize to obtain a copy of my driving Signature of Record Holder Box 1 Box 2 State of County of The foregoing signature of acknowledged before me this the requestor was The foregoing signature of the record holder was day of day of acknowledged before me this. Court government agency or self-regulatory body including service of process investigation in anticipation of litigation and execution or enforcement of judgment or pursuant to an order of a federal state or local court an administrative agency or a self-regulatory body. Revised 7/17 The exempted uses permitted under N.R.S. 60-2901 to 60-2912 the Uniform Motor Vehicle Records Disclosure Act are as follows 1. APPLICATION FOR COPY OF DRIVING RECORD 60-3 161 The availability of records is subject to the provisions of the Uniform Motor Vehicle Records Disclosure Act. Use by any federal state or local governmental agency including any court or law enforcement agency in carrying out its functions or by any private entity acting on behalf of an agency in carrying out their functions. 3. Use in normal course of business by a legitimate business to verify accuracy of information submitted by an individual or business or to obtain correct information if the above is not correct or no longer correct for the purpose of preventing fraud pursuing legal remedies against or recovering on a debt or security interest against the record holder. 7. Use in providing notice to owners of abandoned towed or impounded vehicles. 8. Use by a private detective plain clothes investigator or private investigative agency licensed under N*R*S* 71-3201 to 71-3213 for purposes permitted under this act.

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