Get Wi Dppa Permissible Use Form - Dane County 2021-2025

Filling out the WI DPPA Permissible Use Form online is an important step for government agencies to access personal information from motor vehicle records. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin with the Requester Information section. Provide your full name, telephone number (including area code), and complete your street address, city, state, and zip code. If your mailing address is different, include it in the designated section.
3. Indicate on whose behalf you are acting by providing the name of the Federal, State, or local agency. This ensures proper identification of the Requester.
4. Read the notice to Requester carefully. Acknowledge the legal responsibilities associated with the misuse of personal information obtained from motor vehicle records.
5. Proceed to the Record Information section. Specify the type of record requested, such as an incident report, and provide the name of the record subject. If known, include the incident number.
6. Fill in the date and time of the accident or incident along with the location details. This information is critical for accurate record retrieval.
7. In the Authorized Use section, clearly certify your authorization to obtain and use the records as outlined under 18 U.S.C. § 2721(b)(1).
8. Complete the Certification section by confirming the accuracy of all information provided. Legally, you must acknowledge your responsibility for proper access and use of personal information.
9. Finally, sign and date the form where indicated. This signature is a necessary certification of your statements and compliance.
10. Once you have completed filling out the form, you have the option to save your changes, download, print, or share the completed document.

Start filling out the WI DPPA Permissible Use Form online today to ensure compliant access to vital records.