DMV Confidentiality Request Form Instructions
This file provides instructions on requesting confidentiality for personal information with the DMV. It is essential for eligible individuals seeking to protect their home address and related details. Follow the guidelines to determine eligibility and how to properly submit your request.
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How do I fill this out?
To fill out this form, start by entering your full name and driver license number as it appears on your ID. Next, indicate your mailing address, city, and relevant termination or retirement dates if applicable. Lastly, ensure that you check the appropriate boxes for your employment and add any necessary vehicle information.

How to fill out the DMV Confidentiality Request Form Instructions?
1
Enter your full name and driver license number.
2
Provide your mailing address and city.
3
Fill in the termination or retirement date if applicable.
4
Select the appropriate employment classification.
5
Add vehicle information if necessary.
Who needs the DMV Confidentiality Request Form Instructions?
1
California peace officers who need to protect their address.
2
Attorneys requiring confidentiality for security reasons.
3
State employees needing assurance for their private information.
4
Individuals in the witness protection program seeking to keep their location private.
5
Spouses or registered domestic partners of qualifying employees wanting their personal details secured.
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What are the instructions for submitting this form?
To submit the DMV Confidentiality Request Form, compile your completed form along with any necessary documentation. Mail it to the DMV Confidentiality Records Unit at P.O. Box 932391, MS - N227, Sacramento, CA 94232-3910. Ensure you keep a copy of your submission for your records, and consider sending it via certified mail for tracking purposes.
What are the important dates for this form in 2024 and 2025?
Keep track of important submission deadlines for the DMV Confidentiality Request Form. Ensure that you submit your requests well in advance of any critical dates in 2024 and 2025 to avoid any disruptions. Further details regarding renewal or updates will periodically be available on the DMV's website.

What is the purpose of this form?
The DMV Confidentiality Request Form serves a critical function for individuals who require privacy regarding their home addresses and personal information. This is particularly vital for those employed in positions where their safety may be compromised if their information were to be public. By completing this form, eligible individuals can ensure that their sensitive information is properly safeguarded against unauthorized access.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Name: The full name of the eligible employee.
- 2. Driver License Number: The applicant's California driver license number.
- 3. Mailing Address: The address where correspondence will be sent.
- 4. City: The city of the applicant's mailing address.
- 5. Termination Date: The date the applicant ceased employment, if applicable.
- 6. Retirement Date: The date the applicant retired, if applicable.
- 7. Supervisor's Signature: The signature of the supervisor verifying the employee's request.
What happens if I fail to submit this form?
Failure to submit this form may result in your personal information remaining unprotected and publicly accessible. It is essential to follow all instructions to ensure that confidentiality is granted. Missing the submission may lead to safety issues for individuals who are at risk.
- Privacy Risk: Without proper submission, personal address information may be disclosed.
- Employment Verification Issues: Not submitting the form can lead to complications verifying employment status for those eligible.
- Increased Vulnerability: Individuals may remain at risk, increasing the chance of unwanted contact or threats.
How do I know when to use this form?

- 1. Protection for Law Enforcement: Law enforcement officers use this to protect their home addresses from potential threats.
- 2. Legal Professional Use: Attorneys may need confidentiality for their home addresses because of the nature of their work.
- 3. Victims in Protective Services: Individuals in witness protection programs or victims of domestic violence can use this form to secure their address.
- 4. Public Employees: State and local employees whose safety is compromised may also benefit from this form.
- 5. Family Members of Eligible Individuals: Spouses and children of qualifying employees can request confidentiality for their own information.
Frequently Asked Questions
What is the purpose of the DMV Confidentiality Request Form?
This form allows eligible individuals, such as peace officers and attorneys, to request confidentiality for their home address and other personal details.
Who can use this form?
Individuals in specific classifications such as law enforcement officers, certain state employees, and those in the witness protection program can utilize this form.
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Why is confidentiality important?
Confidentiality protects individuals' sensitive information from public access, ensuring privacy and safety.
How do I submit the completed form?
Completed forms can generally be submitted via mail to the DMV’s Confidential Records Unit or as instructed in the form.
What if I make a mistake on the form?
You can edit the form in PrintFriendly before submission, ensuring all information is correct.
Are signatures required on this form?
Yes, a signature from the qualifying employee is necessary for the request to be valid.
What happens if my request is denied?
You may receive a notification explaining the reason for denial, and you can inquire further with the DMV.
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