COLLISION REQUEST FOR RECORDS
Form 303RM 0097 – SOK 03/2024
SECTION 1 – Information Requested Check type of record desired
Collision Report Provide Date: ____________________ City/County: __________________________________
$7.00
TOTAL DUE
For certified copies, please add $3.00 per record to the amount due for a total of $10.00.
This report is for yourself:
Yes (Complete Section 2 and 3)
No (Complete Section 2, 3, 4, and 5)
SECTION 2 – Driver Information All information required
Name: Last, First, Middle Driver License Number: Sex: Date of Birth:
SECTION 3 – Requestor Information All information required
Name: Last, First, Middle Telephone Number: Email Address:
Mailing Address: City: State: Zip:
SECTION 4 – Business, Organization, or Entity Information All information required
Name of Business, Organization, or Entity: Requestor’s Title: Type of Business:
SECTION 5 – Reason for Request Check all that apply (If none apply, complete Section 6)
Government agency (federal, state, or local including court or law enforcement) for carrying out its functions.
Legal in connection with any court, administrative, arbitral, or self-regulatory body; service of process; investigation in anticipation of litigation;
execution or enforcement of judgment or order of a court.
Research Activities or Statistical Reports (personal information shall not be published, re-disclosed, or used to contact individuals).
Insurance company, insurance support organization, self-insured entity for claims investigation, anti-fraud, rating, or underwriting activities.
Licensed private investigative agency or licensed security service for any purpose permitted under 18 U.S.C. § 2721, subsection (b).
Employer of commercial driver license holder to obtain or verify information required under 49 U.S.C. § 31304.
Other for use specifically authorized under the laws of the State of Oklahoma related to the public safety. Statutory citation: __________________
Driver Written Consent
CONSENT TO RELEASE by Person Named in Request [consent to release is required if none of the reasons above apply.]
By signing below, the driver identified above grants consent to Service Oklahoma or any licensed operator to release these records to the requestor.
Driver Signature: Date:
Affirmation
Pursuant to 12 O.S. § 426, I state under the penalty of perjury that the requested information is being solicited solely for the reason(s) checked above or at the consent
of the named person. I understand the personal information furnished is confidential under Federal and State laws and is being released to me only for the reason
I have indicated above or at the consent of the named person, and that it is unlawful for me to furnish the information to any unauthorized person or entity or to be
used for any unauthorized purpose and if I release any of such information to another authorized person, I understand that I must inform that person of their duties
and responsibilities under the Drivers Privacy Protection Act [21 U.S.C. §§ 2421, et seq.] and their obligations to use such information only of the purposes set out therein
and their civil and criminal liabilities if they violate these duties, and their obligation to inform subsequent authorized recipients of said information of their identical
obligations and duties. I further agree to indemnify and held harmless both the Service Oklahoma and OK.gov from all liability and penalties associated with me or my
successor’ or assignees’ wrongful use and/or release of such information.
Requestor Signature: Date:
Please return the records via: Requestor’s mailing address (please include a self-addressed, stamped envelope with form)
Requestor’s email address
Fee: (Per Record)
COLLISION REQUEST FOR RECORDS
FORM INSTRUCTIONS
Form 303RM 0097 – SOK 03/2024
Please fill out all required sections on the Request for Records.
Collision Reports may be obtained in person, by mail, or by email. By law, you are only allowed to obtain
your own Collision Report. [47 OS § 6-117 D] See 47 OS § 6-117 E and F for clarification on the exceptions to
obtaining a driving record that is not your own.
Service Oklahoma (SOK) does not issue national driving records and is not affiliated with DocViews.
As required by the federal Driver Privacy Protection Act (DPPA), 18 U.S.C. § 2721, et seq., SOK or any licensed
operator will not release personal information from the driving record unless the driver consents by
waiving their right to privacy under the DPPA, or unless SOK is required or authorized by DPPA to release
personal information without the driver’s consent as enumerated in Section 5 of the Request for Records
form.
Fees
The fee for a Collision report is $7.00. If the person requests a certified copy, there will be a $3.00 certified
copy fee per 47 OS § 2-110. A certified copy of a Collision report will total $10.00.
Collision reports may take up to 30 days to populate in the system.
Accepted Forms of Payment
SOK accepts payment as indicated below.
Mail In-Person
Cashier’s check Cashier’s check
Money order Money order
Business check Business check
Cash
Credit or debit card
Mailing Instructions
Mail completed form, a self-addressed stamped envelope, and total amount due to (please do not mail cash):
Service Oklahoma
Business Support Services
PO Box 11415
Oklahoma City, OK 73136-0415
SOK will not mail documents as cash on delivery (C.O.D.). Please do not use Federal Express (FedEx) or
United Parcel Service (UPS) for your self-addressed stamped envelope.
Email Instructions
The completed form can be emailed to [email protected]. The total amount can be mailed to
the address noted above. Records returned by email will be sent as an encrypted email to the email
address provided by the requestor.
In Person
Present the completed form and total amount due (see above for payment options) in person at:
Service Oklahoma
6015 N Classen Blvd
Oklahoma City, OK 73118
