Central Services Records Section
555 Wright Way
Carson City, Nevada 89711-0250
(775) 684-4590
www.dmvnv.com
Letter of Authorization to Release Information
Authorization not required for your own record
I, _________________________________, hereby authorize Nevada Department of Motor
Vehicles to release information pertaining to my: (NRS 481.063)
Driver’s License
Driver’s License Number
Registration
Vehicle ID Number
Title
Vehicle ID Number
Vehicle Insurance Information
Vehicle ID Number
Per my authorization, release the above information to:
Name
Mailing Address
Owner of Record:
Signature:
Date:
Signed and sworn to before me this
_________ day of __________________, (20 __ )
By _____________________________________________
________________________________________________
NOTARY Public or Authorized Nevada DMV Representative
IR015 (Rev 10.2014)
Central Services Records Section
555 Wright Way
Carson City, Nevada 89711-0250
(775) 684-4590
www.dmvnv.com
Letter of Authorization to Release Information
Authorization not required for your own record
I, _________________________________, hereby authorize Nevada Department of Motor
Vehicles to release information pertaining to my: (NRS 481.063)
Driver’s License
Driver’s License Number
Registration
Vehicle ID Number
Title
Vehicle ID Number
Vehicle Insurance Information
Vehicle ID Number
Per my authorization, release the above information to:
Name
Mailing Address
Owner of Record:
Signature:
Date:
Signed and sworn to before me this
_________ day of __________________, (20 __ )
By _____________________________________________
________________________________________________
NOTARY Public or Authorized Nevada DMV Representative
IR015 (Rev 10.2014)
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