COMMERCIAL REQUESTER ACCOUNT

INSTRUCTIONS/APPLICATION

A Public Service Agency

Disclaimer
The information collected on the attached forms is public record
and open to inspection by the public, unless prohibited by statute.

INF 1133 (REV. 8/2018) WWW

 Instructions for Completing the Commercial Requester Account (CRA) Application
Before You Begin Services” and “Commercial Requester Account” or by contacting the
DMV’s Account Processing Unit at (916) 657-5564.
Incomplete applications result in processing delays. As you review
the following instructions, please take a moment to note any changes Account Number
or suggestions that you feel would make them more understandable.
You can make your comments or suggestions directly on the If you are an existing customer and are submitting a renewal or
instructions and return them with your application. change application, indicate the “account number” that has been
issued by the DMV. For first time applicants, the account number will
Be sure to read all instructions completely before filling out the be entered by the DMV technician and included on your approval
forms and keep a copy of all forms for your records; DMV will not letter.
return copies.
NOTE: The “Account Number” was formerly referred to as the
The Commercial Requester Account Application (INF 1106) is to be “Agreement Number”.
used by “End Users” ONLY. An “End User” is any requester code
holder for whose use DMV record information (commonly referred Type of Application
to as “Motor Vehicle Records (MVRs)” is requested. (Examples: ($50 w/o residence address)
Attorney/Law Office, Auto Auction, Dealer, Financial Institution,
Insurance Company, Insurance Agent/Broker, Lien Sale Co., ($250 w/residence address)
Registration Service, etc.) Original – Check this box if you are applying for a new account.
Effective January 1, 2012, electrical corporations, as defined in Public All sections must be complete or the application will be returned
Utilities Code (PUC) §218; local publicly owned electric utilities, as unprocessed.
defined in PUC §224.3; and agents of these entities are authorized Change – Check this box if you have an existing account and you
to obtain residence address information for the purpose of identifying are changing information, such as, the contact person, address,
where electric vehicles are registered. The corporations, public record access method, permissible use, etc. Include all Requester
utilities, and agents must have an approved requester code account Codes currently issued.
to obtain residence address information from the department.
Renewal – If you have received a “renewal notice” (commonly
If your electrical corporation or local publicly owned electric utility: referred to as an “address insert sheet”) in the mail or your account is
• Qualifies as a commercial requester: expiring, check this box and complete all sections. Be sure to return
— Follow the instructions to complete and submit the your “renewal notice(s)” with your renewal application.
Commercial Requester Account Application (INF 1106), and
other required documents contained in this packet.
Section A – Business Information
1. Business Name... – Enter the true full name of the sole
• Does not qualify as a commercial requester:
proprietor or each partner or corporation name as on file with
— Refer to the Government Requester Account Instructions/ the State of Issuance.
Application (INF 40) packet on the DMV Internet website at:
NOTE: The Corporation, LLC, LLP or LP status will be verified and
www.dmv.ca.gov.
the Name or DBA provided must match. Inconsistencies will result
Effective January 1, 2011, if you will be acting as an authorized in processing delays.
contractor on behalf of an insurance company, pursuant to a 2. Daytime Telephone Number - Enter daytime telephone number
contractual agreement; and will request residence address access of applicant.
for the purpose of obtaining the address of another motorist or
vehicle owner involved in an accident with the insurance company’s 3. DBA - Fictitious Business Name under which applicant will be
insured; you must apply for a Commercial Requester Code Account. doing business.
Additionally, you must comply with the following requirements: 4. Internet Website Address – Enter the Internet Website Address
• Provide a copy of each contract with any insurance company of the business or indicate “None”.
that has a contractual agreement with you for the purposes 5. Fax Number - Enter the fax number of the business or indicate
described above. Submit the document(s) with the Commercial “None”.
Requester Account Application (INF 1106).
6 thru 8. Contact Person, e-mail address, daytime phone – Enter
• Submit copies of all new or renewal contracts, as specified that the name/title, e-mail address (if available) and the daytime
become effective after applying for and obtaining a Commercial telephone number of the person who will be responsible for the
Requester Code Account. (Mail these documents to the DMV account and who DMV can contact in the event of questions
- Accounts Processing Unit. The Unit’s address is provided at or problems.
the end of the instructions.)
9. Street Address – Enter the physical location where the business
• Retain the contract(s) for audit purposes. You must produce the is located including the street number and name, city and state.
document(s) immediately upon request.
10. Mailing Address – Enter the mailing address where you want
If you are requesting access to DMV record information to provide a information mailed. If the mailing address is the same as the
pass-thru/reformat service to another approved requester (Vendor street address provided in 9 above, indicate “Same”.
or End User) or a person or entity who is authorized by another
approved End User to access, receive and use DMV record Section B – Business Identification
information on their behalf, you must complete form INF 1106V
1. Federal Employer ID Number (FEIN) or State Tax ID # - The
“Commercial Requester Account Service Provider Application” which
FEIN or State Tax ID number is required on all applications.
is available on the DMV’s website at www.dmv.ca.gov, click on “Other
If you wish to have an FEIN assigned, contact the IRS at

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 (800) 829-1040. If you are a sole proprietor, this may be 3.a. If you will be using the information for your own business use,
the same as your Social Security Number (SSN). SSN check this box. (Example – An applicant that is requesting
information collected as part of the Commercial Requester DMV record information in order to underwrite insurance for an
Account application process will be used strictly for collection insurance company or perform a background pre-employment
of delinquent or administrative fines and will not be released screening for an employer.)
outside of the DMV. 3.b. If you will be providing a service to another applicant,
2. Corporation Identification Number/State of Issuance – Enter such as, pass through/reformat services (Vendor)
the number issued to the corporation, LLC, LLP, or LP and the or other contracted services, (government agent)
state of issuance, if applicable. check this box. Additional documents may be
required, contact Accounts Processing Unit (APU) at
NOTE: If your corporation is not located in California and your state (916) 657-5564.
does not issue corporation numbers, you must list the state in which
you are incorporated and write “No Corp. # issued.” Section F – Record Access Method
3. Other (Identify) – If none of the above are applicable, identify Commercial Requester Account applicants can purchase information
your business category (i.e., sole proprietor). directly from DMV or from an approved Commercial Requester
Account Service Provider (AKA Vendor/Reseller) that has been
Section C – Business Type authorized by DMV to provide access to DMV records through a pass
Check the type of business in which you are involved. If none of through/reformat process. A list of authorized Commercial Requester
the business types listed are applicable, please check “Other” and Account Service Providers is available on DMV website at www.dmv.
identify your business type. ca.gov, click on “Forms”, “Commercial Requester Accounts,” then
scroll down to “Reseller Vender List.”
Section D – Professional/Occupational License 1. If you choose to request information from an approved
Information Commercial Requester Account Service Provider and not
If the type of business identified in Section C is such that it requires directly from DMV, check “Yes.” You will be billed by the Service
the applicant to be licensed by a state or federal agency in order to Provider for information received from that Service Provider.
engage in such business (i.e., an attorney must be licensed by the If you will be using the services of a Commercial Requester
state bar, insurance agent/broker must be licensed by the Department Account Service Provider and you checked “Yes” above, does
of Insurance, registration service must be licensed by California DMV, that Service Provider offer on-line (instantaneous) access and
Occupational Licensing Section, etc.), please provide: will you be requesting information through that on-line method?
1. Professional or Occupational Licensee Name - the name of Check appropriate box.
the licensee as it appears at the registering agency (Example NOTE: There is no on-line (instantaneous) access to financial
– John Quincy Public) responsibility (FR) information. See Section G for further information
2. Issuing Agency Name – the name of the state or federal agency on how to obtain FR information.
issuing such license (Example - California State Bar). If you choose to request information directly from DMV, check
2.A.License Number - the license number assigned to the applicant “No.” DMV will establish an Automated Billing Information
(Example - 234567), Service (ABIS) account and you will be billed monthly by DMV
for information received.
2.B.Expiration Date - the expiration month and year of the license
(Example - 01/2004). 2. If you are interested in finding out about other electronic methods of
accessing information directly from DMV, such as, Cartridge Tape
NOTE: If you have been issued a professional/occupational (IBM compatible, 3480 non-compressed or 3490 compressed,
license in a state other than California, please attach a copy to your optional) or File Transfer Protocol via Virtual Private Network
application. The professional/occupational license may be verified (VPN), please contact the Electronic Access Administration Unit at
for active status and the name must match the name identified in (916) 657-5582 for more information.
item D.1. Inconsistencies may result in processing delays.
Section G – Permissible Use(s)/Purpose
Section E – Commercial Requester Account
Identify Proposed Use: Use the space provided to explain your
History and Use purpose for requesting DMV records using a separate section for
1.a. If you have or have had a Commercial Requester Account, each purpose.
including renewals, check “yes” and print the business name NOTE: DMV record information must be used only for the purpose
or DBA and the associated Agreement/Account number and identified on your application (INF 1106) and approved by DMV.
Requester Code number(s). Any other use is prohibited and could result in civil, criminal, or
1.b. Check “yes” if your previous account has been subject to a administrative penalties. BE SPECIFIC.
DMV administrative action and attach a separate sheet of paper Refer to “Permissible Use(s)” below for assistance/
that includes the type of action, the name of the person(s) and/ guidelines in completing this information.
or business/DBA, the reasons and date of the action. Type of Information Available:
2. If anyone having access to DMV record information has ever
been convicted of any crime, as specified, check “yes” and
 VR  DL  OL  FR
attach a separate sheet that includes the name of the person, the Mark the appropriate box(es) on the application for the type of DMV
specific code violation, conviction date, court and action taken. information you are requesting.

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VR – A vehicle/vessel registration (VR) record contains information Private Investigator/Security Service - For use by any licensed
relating to the registration of a vehicle or vessel. private investigative agency or licensed security service for any
purpose permitted under this section.
DL – A driver license/identification card (DL/ID) record contains
information obtained from an individual’s DL/ID application, abstracts NOTE: A Private Investigator/Security Service MUST include the
of convictions, and accidents. other purpose permitted under this section. Example: Private
Investigator for Insurance Claims investigation.
OL – Information regarding an Occupational Licensee (i.e., vehicle
salesperson, dealer, registration service, etc.) Any Other Use Specifically Authorized Under California Law -
For any other use specifically authorized under the law of the State
FR – Marking the box for financial responsibility (FR) information
that holds the record, if such use is related to the operation of a
will only allow the DMV to bill your Commercial Requester Account.
motor vehicle or public safety. (Include state law, identified by code
For obtaining FR information, you must submit form SR 19 to the FR
name and section number, which requires or permits use.) Example:
Unit; there is no on-line (instantaneous) access to FR information at
“Service of Summons pursuant to California Code of Procedure
this time. The forms are available on the Internet or you can contact
Section 415 et seq.” or “News Gathering and Reporting pursuant to
the FR Unit at (916) 657-6677.
California Vehicle Code Section 1808.”
Permissible Use(s) – Federal legislation, the Driver’s Privacy
Out-of-State Lien Sale-Out-of-State Lien Sale applicants must
Protection Act (DPPA), Title 18, United States Code, Sections 2721-
attach a copy of their state statute that requires DMV to release
2725, makes any personal information contained in a motor vehicle
confidential residence address information.
record confidential unless the information is requested and used for
a “permissible use” as defined below. Residence Address Requested:  Yes  No
NOTE: The identified “permissible uses” only authorize access Section 1808.21 of the Vehicle Code states that all residence address
to non-confidential information. Confidential residence address information within the department’s files is confidential, to be released
information will not be provided unless you qualify under a separate only to a court, law enforcement agency, or other government entity.
state or federal statute. See “Residence Address Requested…” for If you are requesting access to confidential residence address
more information. information, you MUST cite the specific state or federal statute (by
Motor Vehicle or Driver’s Safety and Theft – Information received code name and section number) that authorizes or requires the DMV
must be used in connection with matters of motor vehicle or driver to release that information.
safety and theft; motor vehicle emissions, motor vehicle product For your convenience, DMV has provided a list of previously approved
alterations, recalls, or advisories; performance monitoring of motor statutes authorizing access to residence address information. The
vehicles, motor vehicle parts and dealers; motor vehicle market California Vehicle Code is available on DMV’s website at www.dmv.
research activities, including survey research; and removal of non- ca.gov then click on “Publications.”
owner records from the original owner records of motor vehicle
manufacturers. NOTE: It is the requester’s responsibility to read and ensure that
they are authorized under the identified statute. Administrative, civil
Legitimate Business for Purposes of Preventing Fraud – or criminal action may be taken for false representation.
Information received must be used in the normal course of business
by a legitimate business or its agents, employees, or contractors, but Statutes that have been previously approved as authorizing access
only to verify the accuracy of personal information submitted by the to residence address information includes, but may not be limited to:
individual to the business or its agents, employees, or contractors; • California Vehicle Code Sections 1808.21 et al., 1808.22 et al.,
and if information as so submitted is not correct or is no longer 1808.23 et al., 1808.25, 4465, 22851.8,
correct, to obtain the correct information, but only for the purposes of
• California Civil Code Sections 3067 - 3075, inclusive
preventing fraud by, pursuing legal remedies against, or recovering
on a debt or security interest against the individual. • Harbors/Navigation Code Sections 500 - 509, inclusive
Civil, Criminal, Administrative or Arbitral Processing - For use NOTE: All requesters of residence address information MUST
in connection with any civil, criminal, administrative, or arbitral provide the specific statute by code name and section number, in
proceeding in any Federal, State, or local court or agency or order to request such information. Each statute will be reviewed
before any self-regulatory body, including the service of process, prior to approval.
investigation in anticipation of litigation, and the execution or EXAMPLES OF IDENTIFIED PURPOSES
enforcement of judgments and orders, or pursuant to an order of a
Federal, State, or local court. Example # 1. Identify Proposed Use
Research and Statistical Reports - For use in research activities, Represent client in civil or criminal processes. Address authority CA
and for use in producing statistical reports, so long as the personal Vehicle Code § 1808.22(c)
information is not published, re-disclosed, or used to contact
individuals.
Type:  VR  DL  OL  FR
Residence address:  Yes No
Insurance Purposes - For use by any insurer or insurance support
organization, or by a self-insured entity, or its agents, employees, or Example # 2. Identify Proposed Use
contractors, in connection with claims investigation activities, anti- For use by a legitimate business for preventing fraud in determining
fraud activities, rating or underwriting. the proper identity and driver license status of applicants for rental
Towed or Impounded Vehicles - For use in providing notice to the cars.
owners of towed or impounded vehicles. Type:  VR DL OL FR
Residence address: Yes  No

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NOTE: Please note in item #1 that because residence address branch locations would be required if you want to store records at
access was requested, the authorizing statute by code name and that branch or if you need to have information sent directly from
section number was included, as required. DMV to that branch.
Section H – Acknowledgement and Certification of Agency (INF 1184) – You are required to
Certification Statement complete and return this form if you are a Dealer Agent (i.e.,
registration service) who will be requesting residence address
The person signing the application must be an authorized information in order to process vehicle registration transactions/
representative of the business and agree to all conditions set documents for a vehicle dealer OR if you are a Manufacturer
forth in the Commercial Requester Account Terms and Conditions Agent processing recall advisories for a vehicle manufacturer.
(INF 1230).
NOTE: Each licensed dealer or manufacturer for whom you will
Section I – DMV Approval (DO NOT COMPLETE) be processing work must sign form INF 1184. All INF 1184 forms
must be submitted to DMV and DMV notified upon termination of
Once the application is approved, an approval letter will be mailed contractual relationship.
to you with the requester code(s) that have been assigned to your
business. The approval letter will identify the permissible use/ NOTE: If you request and are approved by DMV to access
purpose(s) that have been approved including whether residence confidential residence address information, DMV will mail you the
address access has been authorized. Your account will be activated CRA Bond form (INF 1132) for you to complete. Please do not submit
immediately upon approval, however, residence address information the bond form until you are notified by DMV that you have been
will not be released until your Commercial Requester Account approved for residence address information.
Surety Bond (INF 1132) is received and approved by DMV. (See
Checklist for further information). You may immediately use your ADDITIONAL REQUIREMENTS
account to receive non-address records pending receipt of your Commercial Requester Account Terms & Conditions (INF
bond, if applicable. 1230) – By signing the Commercial Requester Account Application
(INF 1106), the applicant is agreeing to comply with all terms and
CHECK LIST – ORIGINAL/RENEWAL APPLICATION conditions contained herein. Form INF 1230 must be retained on
file by applicant/account holder for frequent reference. DO NOT
The following documents/items MUST be RETURN TO DMV.
submitted to the DMV for processing.
Information Security Statement (INF 1128) – This form must be
REQUIRED: completed upon presentation and re-certified annually by ANY
Commercial Requester Account Application (INF 1106) individual whether inside or outside your organization that has direct
or incidental access to DMV record information. DO NOT RETURN
ORIGINAL APPLICATION OR RENEWAL FEE: TO DMV.
Make check or money order payable to Department of Motor NOTE: DMV form INF 1128 is replacing the previous Representative
Vehicles. Non-Disclosure Statement form (INF 1110). On your next annual
Account not requesting and/or authorized to receive confidential re-certification process, any person having access to DMV record
residence address information $50 information, internal or external, must complete DMV form INF 1128
which is to be maintained at the account holder’s worksite and made
Account authorized to and requesting access to confidential available to DMV audit staff upon request.
residence address information $250
WHERE TO MAIL YOUR ORIGINAL/RENEWAL/
NOTE: $50 of the application fees is non-refundable and will be
retained by DMV. CHANGE APPLICATION
Congratulations, You have now completed the CRA Application/
No charge for changing contact person, address, phone number, Renewal process. Mail your application and applicable fee to the
proposed use, etc. following address:
NOTE: Change of ownership will require “New” application and fee. Department of Motor Vehicles
ONLY IF APPLICABLE: Accounts Processing Unit – MS H221
PO Box 944231
Commercial Requester Account Renewal Notice(s) – DMV Sacramento, CA 94244-2310
will send notices approximately 90 days prior to expiration of a
CRA. If you have received a renewal notice, please return it to If you need additional assistance, please contact your Service
DMV with your application. Provider who will be able to assist you, or call the DMV at
Branch Location Requester Code(s) Application (INF (916) 657-5564.
1106BL) – Instructions are provided on the reverse of the form. Please don’t forget that if you have any comments or suggestions to
Complete and submit with completed application only if you are improve the instructions, note them directly on the appropriate page
requesting additional requester code(s) for branch locations as and send them with your application. All comments/suggestions will
defined on reverse of form. be appreciated.
NOTE: The Branch Location Requester Code(s) Application (INF
1106BL) is only needed when you require additional requester codes
issued for your branch locations. An additional requester code for

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 Information Services Branch DMV USE ONLY
CHECK/M.O. # AMOUNT
COMMERCIAL REQUESTER ACCOUNT
APPLICATION CA ID/DATE EXPIRES

Account Number ____________

Check One Only: Original Application (All sections must be completed or application will be returned unprocessed.)
Change(s) to existing Account—Complete only those sections that are changing and list ALL existing
Requester Code(s) _____________________________________________ (REQUIRED)
Renewal (All sections must be completed or application will be returned unprocessed.)
IMPORTANT
TO AVOID PROCESSING DELAYS, PLEASE READ ALL INSTRUCTIONS PRIOR TO COMPLETING FORM.
SECTION A. BUSINESS INFORMATION
1. BUSINESS NAME 2. DAYTIME TELEPHONE NUMBER
( )
3. DBA (FICTITIOUS BUSINESS NAME) 4. INTERNET WEBSITE ADDRESS (IF NONE, SO STATE) 5. FAX NUMBER

6. CONTACT PERSON NAME/TITLE (INDIVIDUAL RESPONSIBLE FOR THE ACCOUNT) 7. E-MAIL ADDRESS 8. DAYTIME TELEPHONE NUMBER
( )
9. STREET ADDRESS (PHYSICAL LOCATION REQUIRED) CITY STATE ZIP CODE

10. MAILING ADDRESS (IF SAME AS PHYSICAL LOCATION, SO STATE) CITY STATE ZIP CODE

SECTION B. BUSINESS IDENTIFICATION

1. FEDERAL EMPLOYER ID# OR STATE TAX ID # 2. CORPORATION, LLC, LLP, LP ID#, IF APPLICABLE STATE OF ISSUANCE
Number:
3. OTHER (PLEASE IDENTIFY)

SECTION C. BUSINESS TYPE

Attorney/Law Office Independent Institution of Higher Education PI/Detective Agency

Auto Auction Insurance Agent/Agency/Broker Process Server
Dealer (Vehicle/Vessel) Insurance Company Registration Service
Dismantler (Vehicle/Vessel) Lessor/Retailer Rental Company (Vehicle/Vessel)
Distributor (Vehicle/Vessel) Lien Sale Salvage Company
Financial Institution Manufacturer (Vehicle/Vessel) Other: (Please Identify)
Hospital/Clinic Media

SECTION D. PROFESSIONAL/OCCUPATIONAL LICENSE INFORMATION

1. PROFESSIONAL OR OCCUPATIONAL LICENSEE NAME

2. ISSUING AGENCY NAME A. LICENSE NUMBER B. EXPIRATION DATE (MONTH/YEAR)

SECTION E. COMMERCIAL REQUESTER ACCOUNT HISTORY AND USE

1. Has anyone directly affiliated with any party identified in Section A:
a. previously applied for, had, or have a Commercial Requester Account? Yes No
If yes, print Business Name and/or DBA ________________________________________________ and
Agreement/Account or Requester Code # ________________________________________________
b. been subject to a DMV administrative action? Yes No
If yes, attach a separate sheet that includes the type of action, the name of the person and/or business, the reason and date of
incident.
2. Has anyone having access ever been convicted of any crime for a violent act, stalking, computer fraud, or for unauthorized
disclosure, access or distribution of information? Yes No
If yes, attach a separate sheet that includes the name of the person, the specific code violation, conviction date, court, and action
taken.
3. a. I will be using the information for my own business use as approved by the department.
b. I will be using the information to perform a legitimate business service on behalf of another CRA applicant (i.e., pass
through/reformat, other contracted services) as approved by the department. Access authority will be based on the other
CRA applicant

INF 1106 (REV. 11/2006) WWW

SECTION F. RECORD ACCESS METHOD
1. Will you obtain information through a DMV approved Service Provider/Vendor? Yes No
If “Yes”, is the access method on-line? (Instant response) Yes No
If “No”, please provide a mailing address where you would like your invoices sent. If address is the same as the mailing address
identified in Section A, please state “Same”: _________________________________________________________________
____________________________________________________________________________________________________
2. Are you interested in other electronic information access directly from the DMV? Yes No
If “yes”, see instructions for other access methods and who to contact.
SECTION G. PERMISSIBLE USE(S)/PURPOSE - Each permissible use must be listed separately. For DMV Use Only
1. IDENTIFY PROPOSED USE
Proposed Use Approved
Yes No
Requester Code Issued
Type: VR DL OL FR Residence address requested: Yes No # ______________
2. IDENTIFY PROPOSED USE
Proposed Use Approved
Yes No
Requester Code Issued
Type: VR DL OL FR Residence address requested: Yes No # ______________
3. IDENTIFY PROPOSED USE
Proposed Use Approved
Yes No
Requester Code Issued
Type: VR DL OL FR Residence address requested: Yes No # ______________
4. IDENTIFY PROPOSED USE
Proposed Use Approved
Yes No
Requester Code Issued
Type: VR DL OL FR Residence address requested: Yes No # ______________
SECTION H. ACKNOWLEDGEMENT AND CERTIFICATION STATEMENT
I hereby acknowledge that I have received, read, and agree to the Commercial Requester Account Terms and Conditions (INF 1230).
I understand that the use, or unauthorized disclosure, of departmental information for a purpose other than that for which this
applicant applied, and was approved by the Department, is prohibited and subject to criminal prosecution, including fines and
imprisonment. (California Vehicle Code Section 1808.45) I further understand that obtaining departmental information under false
representations, the distribution of restricted information, or use of information for a purpose not specified by this applicant and
approved by the Department, may result in suspension/revocation of applicant’s access privileges and civil penalties up to $100,000.
(California Vehicle Code Section 1808.46)
I certify (or declare) under penalty of perjury under of the laws of the State of California that the foregoing is true and correct. I further
consent to receive service of process pursuant to the provisions of California Vehicle Code Section 1808.21(c).
EXECUTED AT CITY COUNTY ON (DATE)

SIGNATURE OF AUTHORIZED REPRESENTATIVE

X
PRINTED NAME TITLE DAYTIME TELEPHONE NUMBER
( )
SECTION I. DMV APPROVAL
STATE OF CALIFORNIA
Department of Motor Vehicles
SIGNATURE (DMV REPRESENTATIVE) DATE

X
IMPORTANT
Information provided on this form is Public Record, unless expressed otherwise in statute.
Any confidential information will not be released to the general public. Clear Form
Applicant must retain a copy of the application for their records.
Mail To: DMV, Account Processing Unit
MS-H221, P.O. Box 944231, Print
Sacramento, CA 94244-2310

INF 1106 (REV. 11/2006) WWW

 INFORMATION SERVICES BRANCH
COMMERCIAL REQUESTER ACCOUNT
TERMS AND CONDITIONS

By applying for a Commercial Requester Account to access Department of Motor Vehicles (DMV) information,
you, the “Requester,” agree to the following terms and conditions, as required under Section H of the Commercial
Requester Account Instructions/Application.

DMV reserves the right to modify the following terms and conditions at will.

A. GENERAL
1. The term of the Commercial Requester Account shall be for two years from date of approval and may be
renewed biennially or extended by DMV.

2. Requester and its designees shall only use DMV information for purposes approved by DMV. Any other use
is strictly prohibited and will subject Requester and its designees to termination of the account, as well as civil
and criminal penalties.

3. Requester agrees to defend, indemnify, and hold harmless DMV and its officers, agents, and employees from
any and all claims, actions, damages, or losses, which may be brought or alleged against DMV, its officers,
agents, or employees, by reason of the negligent, improper, or unauthorized use or dissemination by Requester
or its officers, agents, or employees, of information furnished to Requester by DMV, or by reason of inaccurate
information furnished to Requester by DMV, unless Requester can show that DMV was originally furnished
accurate information from the reporting source.

4. Resale of DMV information is prohibited. Requester shall not store, combine, or link department information
with any database for resale or for any business purpose not specified on the application for a Commercial
Requester Account and approved by DMV. Continued storage of information is permissible to comply with
federal or state record retention requirements.

5. The person authorized to complete and sign the application on behalf of Requester may be held personally
responsible to DMV for any debts and obligations arising under this agreement.

6. Requester shall not represent itself as an agent or employee of DMV. Requester shall not use any DMV
trademark or service mark, indicia, acronym, or any substantial similarity thereto, in a manner likely to cause
confusion that Requester’s services are associated with or are that of DMV.

7. In the event of any breach of the security of Requester’s system or database containing the personal information
of California residents, Requester shall bear all responsibility for providing notice of the breach to the affected
residents, as required by California Civil Code (CCC) §1798.82. Requester shall bear all costs associated with
providing this notice, and shall also be responsible for providing identity theft prevention services to the affected
California residents. These protections include, but are not limited to, providing credit monitoring services for
each affected resident for a minimum of one year following the breach of the security of the system maintained
by Requester. In addition, Requester agrees to comply with all federal and California state laws, including all
of the provisions of the California statutes and Title 13 of the California Code of Regulations (CCR).

Print Clear Form

INF 1230 (REV. 7/2018) WWW
8. If DMV or law enforcement contacts Requester about an incident or investigation pertaining to Requester’s
account or use thereof, Requester shall assist and cooperate with any related investigation. Requester agrees
to be held responsible for any misuse of the information by its employees, agents, or parties, to whom the
information was entrusted, and to take appropriate corrective actions.

9. Requester shall not sell or transfer ownership of a vehicle or vessel if the information received from DMV
records indicates a Department of Justice stop (“DOJ STOP”). Requester shall notify the local police regarding
the vehicle or vessel whenever the location of the vehicle or vessel is known.

10. Requester shall notify DMV in writing within ten (l0) days of any changes regarding Requester, including, but
not limited to change of address, telephone number, contact person, and closure or sale of business.

B. SECURITY
1. Requester shall comply with all DMV security requirements relating to its Commercial Requester Account.
Requester understands that DMV reserves the right to amend or enhance its requirements, and continuance
of a Commercial Requester Account is contingent upon Requester’s compliance with the updated criteria.
Security requirements are available at www.dmv.ca.gov (search “Commercial Requester Accounts”). It is the
responsibility of Requester to periodically review this website, but no less than once every six (6) months, for
any future updates or enhancements to the security requirements. Requester affirms that it has access to the
internet to view the website for current security requirements and any requirements that may be updated in
the future.

2. Requester shall be responsible for safeguarding the information received and shall restrict access to this
information to its employees, agents, or parties with whom it contracts. Requester agrees to be held responsible
for any misuse of the information by its employees, agents, or parties to whom the information was entrusted.

C. FEES
1. Requesters receiving information directly from DMV shall be charged a fee pursuant to CCR §350.44 and
shall be billed monthly for information received.

2. The amount listed on the invoice is due and payable upon receipt. Failure to remit the appropriate payment
could result in termination of the requester account and may include a referral to a collection agency.

D. DISPUTES
1. Requester may withhold payment of any disputed charges. A charge is not disputed until Requester provides
DMV a written explanation of the disputed charge within thirty (30) days of invoice date. If DMV determines
the charge is valid, Requester will be notified and shall pay the outstanding charge within ten (10) days.

2. Requester consents to jurisdiction of California courts and Requester agrees to Sacramento County, California,
as the forum selected for judicial review of its rights relating to its account under these terms and conditions.
Any disputes regarding Requester’s account shall be adjudicated pursuant to the laws of the State of California.

3. Requester and DMV agree that they shall cooperate to resolve, and negotiate in good faith and in a timely
manner, any dispute, controversy, or claim arising out of or relating to the Agreement and/or any Addendum.
Requester and DMV further agree to designate promptly one or more authorized representatives with full
authority to resolve any such dispute.

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INF 1230 (REV. 7/2018) WWW
E. INSPECTION OF RECORDS
1. Requester shall keep all records required pursuant to CCR §§350.18(b) (4) and 350.48 at the business address
provided to DMV.

2. DMV may perform audits on Requester at DMV’s discretion. Requester’s place of business shall be available
for an electronic or manual audit (of records required to be retained) immediately upon request by DMV or
DMV’s representative.

3. Requester shall pay reasonable costs in connection with any audit to determine if Requester complies with all
of the security requirements and to monitor the requester code usage. Requester shall pay auditing costs within
thirty (30) days of DMV’s issuance of the invoice to Requester.

4. Requester understands that failure to respond timely to an audit report with findings may result in termination
of Requester’s account.

F. SUSPENSIONS/TERMINATION OF ACCOUNT
1. Suspension for cause with Notice: If DMV believes a violation of the Commercial Requestor Account
Agreement has occurred or is occurring with Requester’s account, Requester must participate in any related
investigation, and take any necessary corrective action. If Requester refuses to participate in any investigation
or take corrective action, DMV shall suspended Requester’s account pending the investigation. DMV shall
provide written notice prior to any such suspension.

2. Suspension/Termination for cause without Notice: DMV may suspend or terminate Requester’s account
for any violation of the Commercial Requester Account Agreement and/or any Addendum, immediately
and without prior notice. If Requester’s account is suspended or terminated for violation of the Commercial
Requester Account Agreement and/or any Addendum, Requester shall have an opportunity to establish and
perform corrective measures to rectify such violation, and prevent future violations. If the corrective measures
have the rectified the violation to DMV’s satisfaction, DMV, in its discretion, may end the suspension of the
account or allow Requestor to reapply for an account.

3. Prior to suspending or terminating the requestor account, DMV shall consider the following:

a. The nature, extent, and severity of any breach of security, disclosure of information, or dispute, controversy,
or claim arising out of or relating to the Agreements and/or any Addendum;
b. The needs and responsibilities of DMV and law enforcement;
c. The privacy interests of DMV’s customers and their data;
d. The economic impact of the suspension or termination;
e. Whether the action is supported by evidence or findings as a result of an investigation or audit;
f. Whether the action is commensurate or proportional to the findings and circumstances;
g. Whether Requester can provide a remedy or cure, and the estimated time in which the remedy or cure can
be implemented.
h. Whether Requester has already provided a remedy or cure, and the time in which the remedy or cure was
implemented.

4. Termination without cause: Either party may terminate the requester account without cause, by giving the
other party at least thirty (30) days prior written notice.
INF 1230 (REV. 7/2018) WWW
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 COMMERCIAL REQUESTER ACCOUNT
BRANCH LOCATION REQUESTOR CODE(S) APPLICATION Page of
See Instructions on Reverse
Billing Address: Check one box only Main Office Branch Location

SECTION A: Main Office

NAME OF BUSINESS REQUESTER CODE(S) (IF ISSUED) ACCOUNT NUMBER (IF ISSUED)

SECTION B: Branch Locations

CORPORATION OR OCCUPATIONAL LICENSE NUMBER OF BRANCH REQUESTER CODE ACCESS DMV USE ONLY
Same as Main Office
Requester Code(s)
Basic record only
CONTACT PERSON NAME/TITLE (INDIVIDUAL RESPONSIBLE FOR ACCESS) E-MAIL ADDRESS DAYTIME TELEPHONE NUMBER
( )
STREET ADDRESS (PHYSICAL LOCATION REQUIRED) CITY STATE ZIP CODE

MAILING ADDRESS (IF SAME AS PHYSICAL LOCATION, SO STATE) CITY STATE ZIP CODE

RECORD STORAGE ADDRESS (PHYSICAL LOCATION WHERE RECORDS WILL BE MAINTAINED FOR ON-SITE INSPECTION, REVIEW OR AUDIT BY DMV)
STREET CITY STATE ZIP CODE

CORPORATION OR OCCUPATIONAL LICENSE NUMBER OF BRANCH REQUESTER CODE ACCESS DMV USE ONLY
Same as Main Office
Requester Code(s)
Basic record only
CONTACT PERSON/TITLE (INDIVIDUAL RESPONSIBLE FOR ACCESS) E-MAIL ADDRESS DAYTIME TELEPHONE NUMBER
( )
STREET ADDRESS (PHYSICAL LOCATION REQUIRED) CITY STATE ZIP CODE

MAILING ADDRESS (IF SAME AS PHYSICAL LOCATION, SO STATE) CITY STATE ZIP CODE

RECORD STORAGE ADDRESS (PHYSICAL LOCATION WHERE RECORDS WILL BE MAINTAINED FOR ON-SITE INSPECTION, REVIEW OR AUDIT BY DMV)
STREET CITY STATE ZIP CODE

CORPORATION OR OCCUPATIONAL LICENSE NUMBER OF BRANCH REQUESTER CODE ACCESS DMV USE ONLY
Same as Main Office
Requester Code(s)
Basic record only
CONTACT PERSON/TITLE (INDIVIDUAL RESPONSIBLE FOR ACCESS) E-MAIL ADDRESS DAYTIME TELEPHONE NUMBER
( )
STREET ADDRESS (PHYSICAL LOCATION REQUIRED) CITY STATE ZIP CODE

MAILING ADDRESS (IF SAME AS PHYSICAL LOCATION, SO STATE) CITY STATE ZIP CODE

RECORD STORAGE ADDRESS (PHYSICAL LOCATION WHERE RECORDS WILL BE MAINTAINED FOR ON-SITE INSPECTION, REVIEW OR AUDIT BY DMV)
STREET CITY STATE ZIP CODE

CORPORATION OR OCCUPATIONAL LICENSE NUMBER OF BRANCH REQUESTER CODE ACCESS DMV USE ONLY
Same as Main Office
Requester Code(s)
Basic record only
CONTACT PERSON/TITLE (INDIVIDUAL RESPONSIBLE FOR ACCESS) E-MAIL ADDRESS DAYTIME TELEPHONE NUMBER
( )
STREET ADDRESS (PHYSICAL LOCATION REQUIRED) CITY STATE ZIP CODE

MAILING ADDRESS (IF SAME AS PHYSICAL LOCATION, SO STATE) CITY STATE ZIP CODE

RECORD STORAGE ADDRESS (PHYSICAL LOCATION WHERE RECORDS WILL BE MAINTAINED FOR ON-SITE INSPECTION, REVIEW OR AUDIT BY DMV)
STREET CITY STATE ZIP CODE

COMPLETED BY (NAME AND TITLE) DATE

x
IMPORTANT
Information provided on this form is Public Record. Information that is confidential according to statute will be masked prior to release.
Applicant must retain a copy of the application for their records.
INF 1106BL (REV. 3/2004) WWW
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 INSTRUCTIONS FOR COMPLETING THE COMMERCIAL REQUESTER ACCOUNT
BRANCH LOCATION REQUESTOR CODE(S) APPLICATION
IMPORTANT
KEEP COPIES OF ALL FORMS FOR YOUR RECORDS PRIOR TO SUBMITTING THEM TO THE DMV.
COPIES WILL NOT BE RETURNED

WHAT IS A BRANCH LOCATION?

For purposes of completing this application, a “Branch Location” is defined as “an offshoot, lateral extension, or division of an
institution with a separate physical location.” In order to be enrolled as a Branch Location, the branch must be operating under
the same corporate number or Occupational License as the account holder. If separate corporation numbers or Occupational
License numbers are indicated, they must complete an application for a separate Commercial Requester Account (CRA).

FEE:

There are no additional application fees for branch locations.

BILLING INFORMATION:

Main Office or Branch Location Billing Information – Each branch location will be issued a separate requester code. The
monthly billing invoice is automatically mailed to the branch location (when information is received directly from the DMV)
unless you indicate that you want the billing invoice mailed to the main office. Check the appropriate box where you want billing
invoices mailed.
Note: This only applies if information is being purchased directly from the DMV.

SECTION A

Complete as many copies of form INF 1106BL as needed but be sure to provide the Name of the Business on each form and
number them properly (i.e., 1 of 22). In addition, include the Requester Code Number(s) and Account Number(s), if already
issued, of the account holder.

SECTION B

Complete for each branch location as follows:

Corporation or Occupational License # of Branch – Provide the Corporation or Occupational License # under which the
branch location is operating. Please remember, if the branch location has a separate Corporation or Occupational License, they
must complete an application for a separate CRA.

Requester Code Access – If the main office and specified branch locations are to have the same type of access, mark “Same
as Main Office.” If the Main Office is authorized to and is receiving residence address information and the branch locations are
to be restricted to basic record information only (i.e., no residence addresses), mark “Basic record only”.

DMV USE ONLY – Leave Blank.

Contact Person Name/Title, E-Mail Address, Daytime Phone – Please provide the name, e-mail address (if applicable) and
daytime phone number of the individual who will be responsible for the branch location’s access.

Street Address – Please provide the physical address of the branch location including number, street, city, state and zip.

Mailing Address – Please provide the mailing address of the branch location where you would like DMV information mailed.
If same as street address, state “Same”.
Record Storage Address – Please provide the physical location where records will be maintained for on-site inspection,
review or audit by DMV or designated representative.

INF 1106BL (REV. 3/2004) WWW

 INFORMATION SERVICES BRANCH

INFORMATION SECURITY STATEMENT

To be completed by any individual having access to DMV record information. Annual re-certification is required. (See reverse)

By signing this form, the undersigned represents that he/she has read and understands the same, agrees to its contents and
realizes the penalties for non-compliance to its terms.

The California Department of Motor Vehicles (CA DMV) collects information from the public to administer the various
programs for which it has responsibility. CA DMV is committed to protect this information from unauthorized access, use, or
disclosure. The following have been adopted to address commercial and governmental users responsibilities for handling and
protecting information obtained from the CA DMV. I understand the following are my responsibilities:

1. I may access information only when necessary to accomplish the responsibilities of my employment. I may not access or
use information from the CA DMV for personal reasons. (Examples of inappropriate access or misuse of CA DMV
information include, but are not limited to: making personal inquiries or processing transactions on my own records or
those of my friends or relatives; accessing information about another person, including locating their residence address,
for any reason that is not related to my job responsibilities.)

2. I may disclose CA DMV information only to individuals who have been authorized to receive it through the appropriate
procedures as regulated by CA DMV. Requesters of information must complete the appropriate forms, submit them to CA
DMV as specified, and pay all applicable fees. In the case of confidential or personal information, a proper accounting of
all disclosures must be made and the subject must be notified in accordance with statute and CA DMV directives.
(Examples of unauthorized disclosures include, but are not limited to: telling someone the address of another person
when it is not an authorized disclosure or part of my job responsibilities.)

3. To keep the requester code and/or password confidential, I must take reasonable precautions to maintain the secrecy of
any requester code and/or my password. Reasonable precautions include, but are not limited to, not telling or allowing
others to view my password or requester code; securing my terminal with a locking device if one has been provided;
storing user documentation to sensitive programs in a secure place; to destroy CA DMV information in a manner that it
cannot be reproduced or identified in any physical or electronic form; and reporting any suspicious circumstances or
unauthorized individuals I have observed in the work area to my supervisor, if applicable.

4. To promptly notify your manager or supervisor of any indication of misuse or unauthorized disclosure of information
obtained from CA DMV.

Federal law states:

“Any person who knowingly obtains, discloses, or uses personal information from a motor vehicle record for a purpose
not permitted under the Driver’s Privacy Protection Act (Title 18 of the United States Code, Section 2721 – 2725), shall
be liable to the individual to whom the information pertains, who may bring a civil action in a United States district court.

I certify under penalty of perjury, under the laws of the State of California, that I have read and understand the security
policies stated above. I understand that failure to comply with these policies and regulations may result in disciplinary action in
accordance with state and federal laws and regulations, and/or civil or criminal prosecution in accordance with applicable
statutes. I further understand that I may undergo disciplinary action from my employer up to and including termination from
employment.
EXECUTED AT CITY COUNTY STATE ZIP CODE

SIGNATURE DATE

X
PRINTED NAME OF SIGNATORY

GOVERNMENT OR COMMERCIAL ENTITY REPRESENTATIVE NAME OF GOVERNMENT OR COMMERCIAL ENTITY

This form must be completed upon presentation and re-certified annually and RETAINED AT THE WORKSITE of the Requester Account
Holder with a current list of those authorized direct or incidental record access for the life of the account and for two years following the
deactivation or termination of the account. This completed form and list must be made available upon request to DMV audit staff.

INF 1128 (REV. 9/2006) WWW

 ANNUAL RE-CERTIFICATION
I have read and understand the security policies stated within the Information Security Statement. I understand that failure
to comply with these policies may result in disciplinary action in accordance with Section 19572 of the government Code,
federal laws and regulations, and/or civil or criminal prosecution in accordance with applicable statutes.

PRINTED NAME SIGNATURE DATE

Print Clear Form INF 1128 (REV. 9/2006) WWW

 INFORMATION SERVICES CERTIFICATION OF AGENCY

SECTION 1 — COMMERCIAL REQUESTER ACCOUNT HOLDER INFORMATION

Please check the appropriate box below:

Business is a vehicle dealership licensed to do business in the state of California.
Business is a vehicle manufacturer licensed to do business in the state of California.
Please print the following business information:
NAME CONTACT PERSON NAME

STREET ADDRESS CITY STATE ZIP CODE

DEALER/MANUFACTURER LICENSE NUMBER DEALER/MANUFACTURER REQUESTER CODE DAYTIME TELEPHONE NUMBER

( )
I hereby certify, under penalty of perjury, that the party specified below is authorized to act as my agent for the purpose
of obtaining information from the Department of Motor Vehicles pursuant to California Vehicle Code (CVC) §1808.23.
I agree to:
Hold the Department harmless from any monetary loss to the Department by reason of the use of information obtained from
the Department by this agent; and
Pay to the Department, its officers, and any other person(s) all civil damages occasioned to the Department or such persons
by reason of the following acts or omissions by this agent:
(a.) obtaining information from the Department by means of false or misleading representations, and/or
(b.) selling, giving, or otherwise furnishing any information obtained from Department records to any third party not specifically
authorized and approved by the Department.

SECTION 2 — AGENT INFORMATION

Please print the following information regarding authorized agent:

NAME

STREET ADDRESS CITY STATE ZIP CODE

AGENT REQUESTER CODE TELEPHONE NUMBER

( )
SECTION 3 — CERTIFICATION

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
PRINTED NAME EXECUTED AT CITY COUNTY STATE

SIGNATURE OF DEALER OR MANUFACTURER DATE SIGNED

X
Mail the completed form to: Department of Motor Vehicles
Accounts Processing Unit – MS H221
P.O. Box 944231
Sacramento, CA 94244-2310

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INF 1184 (REV. 6/2018) WWW