Homepage Free Michigan 153 Template in PDF
Structure

The Michigan 153 form is a crucial document for anyone seeking to access their own driving records or vehicle information in the state. This form allows individuals to request their personal driving history, which includes details about accidents, traffic violations, and other related activities. If you are looking for records on someone else, however, you will need to use a different form, specifically the BDVR 154. When filling out the Michigan 153, it's important to provide accurate and complete information to ensure that your request is processed smoothly. The form includes sections for personal details, such as your name, address, and driver's license number, as well as options for the type of records you wish to obtain. A nominal fee is charged for each record lookup, and even if no records are found, you are still responsible for the lookup fee. Additionally, if you require records to be sent to a different address or need them faxed, there are specific sections to accommodate those requests. Understanding the nuances of the Michigan 153 form can help streamline the process of obtaining your driving records, ensuring you have the necessary information for personal, employment, or insurance purposes.

Form Example

DRIVING RECORDS ARE $8.00 WHEN PURCHASED AT SECRETARY OF STATE PLUS OR

SUPER!CENTER BRANCH OFFICES. NO FORMS REQUIRED.

MICHIGAN DEPARTMENT OF STATE - REQUESTING YOUR OWN RECORD

If you are requesting your own record information, please complete this form.

If you are requesting records about someone other than yourself, use form BDVR 154, Record Lookup Request.

Accurate and complete information will help us locate the record you are requesting. Even if no record is found, you are still responsible to pay the $7.00 lookup fee for each record requested. Driving records for a driver’s personal use show all activity, including accidents where the driver was not at fault. Records produced for insurance, employment, or credit inquiries do not include certain administrative entries or accidents for which the driver did not receive a corresponding court conviction or civil infraction determination.

Section 1. Requestor’s Information (Please print or type all information.)

If you require your information faxed or mailed to an address other than what is on your driving record with the Secretary of State, you must complete Section 5 on the reverse side of the form and check this box:

Your Name (First, Middle, Last)

Current Street Address

Daytime Telephone Number

( ) -

City

State

Zip Code

Section 2. Requesting Your Own Driving Record or Personal Identification Card Information

Michigan Driver’s License or Personal Identification Card Number

Date of Birth

Check boxes that apply:

Driving Record or

(Shows last reported address)

 

Employment, Credit, or Insurance

Personal Identification Card Information for:

Court

 

Other: ________________________________

Original License Issue Date

 

 

 

Current Application

 

 

 

Application History*

For partial histories, please complete:

from ______/______/______

to ______/______/______

Address History*

 

 

 

Other Driving-Related Record(s) ___________________________________________________ Date ______/______/______

 

 

 

(Hearing, Offense, License Status, etc.)

Section 3. Requesting Your Own Vehicle Record

(If you only need your driving record, leave the vehicle information blank or you will be charged for both records.)

 

License Plate or

 

Vehicle

 

Make and Model

 

 

 

 

Vehicle or Hull Identification Number

Registration Number

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check boxes that apply:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Vehicle Owner and Lienholder Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Registration Information as of

____/____/____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Copy of Current Title Application and Related Forms

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete Title History*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete Registration History*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partial Title History*

 

 

 

For partial histories, please complete: from ______/______/______ to ______/______/______

 

Partial Registration History*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check box if you want:

 

All motor vehicles registered or titled under exact name and address listed in Section 1.**

 

 

 

 

 

 

 

 

 

All other registered or titled assets under exact name and address listed in Section 1.**

*Buying a complete or partial title, application, and/or address history can be very expensive as records are retained for ten years. There is a $7.00 charge for each record lookup. Personal information on individuals other than yourself will be redacted (not revealed) from vehicle history records. If you need personal information on previous vehicle owners, you need to complete a BDVR-154 “Record Lookup Request” form.|

**For address searches not listed in Section 1, you will need to attach additional information and/or instructions. You will be charged for each record located. You will also be charged a lookup fee for any address search that finds no vehicles and/or assets at an address listed.

For Office Use Only

BDVR-153 (09/10)

Section 4. Payment Method (Payment or credit card billing information must be included.)

The cost for each record looked up is $7.00. Each certified record provided is $8.00. Certified records will not be faxed. If “no record” is found, you are still responsible to pay $7.00 for each record lookup.

 

Check or Money Order

 

 

 

 

 

 

 

 

 

 

 

Certified record needed

 

 

(Payable to “State of Michigan”)

 

 

 

 

 

 

 

 

 

 

 

($1.00 additional per record)

 

Name on Credit Card (PLEASE PRINT)

 

 

 

 

 

 

 

 

 

 

Credit Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Discover

MasterCard

VISA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Credit Card Account Number

 

 

 

 

 

 

 

 

 

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If paying by credit card, I authorize charging the total amount to my credit card.

X___________________________________________

____ / ____ / ____

Signature of Cardholder

Date

Section 5. Special Delivery Instructions

If you want the record(s) sent to another person or company, complete this section. If address is the same as on the front, leave this section blank.

Please

Fax

my record(s) as indicated below.

If the record is faxed and mailed, you will be charged for each delivery method.

 

Mail

 

Certified records will not be faxed.

Name

Mailing Address

City

Attention (if required)

Daytime Telephone Number

Fax Number

 

(

)

-

(

)

-

State

 

 

Zip Code

 

 

 

 

 

 

 

 

Explain the reason why you need the record(s) sent to another person or to a company:

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Section 6. Requestor Certification (This section must be completed or request will not be processed.)

Explain the reason why you are requesting your own record information:

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

I certify that I am requesting my own record information.

X___________________________________________

____ / ____ / ____

Signature of Requestor form must be signed or request will not be processed.

Date

Penalties for Misuse: Under Michigan law, a person who makes a false representation or a false certification to obtain personal information or who uses personal information for a purpose other than a permissible purpose identified in law is guilty of a felony, which may be punishable by imprisonment for up to 5 years and/or a fine of up to $5,000. Subsequent convictions may result in imprisonment for up to 15 years and/or a fine of up to $15,000.

Mail your completed request to:

Michigan Department of State

Record Lookup Unit

7064 Crowner Drive

Lansing, Michigan 48918-1540

Call 517.322.1624 for help in completing this form.

Completed requests may be faxed to 517.322.1181 but must be charged to a credit card.

www.Michigan.gov/sos

BDVR-153 (09/10)

Printed under the authority of Public Act 300 of 1949, as amended (50,000, $650, $0.013)

 

Document Specs

Fact Name Details
Form Purpose The Michigan 153 form is used to request an individual's own driving record from the Michigan Department of State.
Cost for Records Obtaining a driving record costs $8.00 when purchased at Secretary of State branch offices, while a lookup fee is $7.00.
Requesting Others' Records To request records for someone other than yourself, use form BDVR 154, known as the Record Lookup Request.
Record Contents Driving records include all activity, such as accidents, even if the driver was not at fault.
Exclusions for Third Parties Records requested for insurance, employment, or credit inquiries may exclude certain entries or accidents without court convictions.
Payment Method Payments can be made via check, money order, or credit card, with specific instructions required for each method.
Certification Requirement The requestor must certify that they are requesting their own record information; otherwise, the request will not be processed.
Legal Penalties Misuse of personal information can lead to felony charges, including imprisonment and fines under Michigan law.
Governing Law This form is governed by Public Act 300 of 1949, as amended, which regulates the access and use of driving records in Michigan.
Please rate Free Michigan 153 Template in PDF Form
4.94
Superb
17 Votes