HomeMy WebLinkAboutFlorida Department of Highway Safety and Motor Vehicles Data Exchange Memorandum of Understanding #HSMV 0649-09 2010 03 26 ATTACHMENT "A"
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MEMORANDUM OF UNDERSTANDING
DRIVERS LICENSE OR MOTOR VEHICLE RECORD DATA EXCHANGE
Contract Number HSI dSAmendment
This Memorandum of Understanding (MOU) is made and entered into by and between
Winter Springs Police Department hereinafter referred to as the Requesting Party and the Department of Highway
Safety and Motor Vehicles hereinafter referred to as the Providing Agency.
1. Purpose of the Data Exchange
The purpose of this MOU is to establish conditions under which the Providing Agency agrees to provide electronic
access to information relating to driver license, motor vehicle or traffic crash data to the Requesting Party. The
Requesting Party is performing as (please mark all that apply):
❑ A Network Provider for driver license information for Third Parties. Attachment 1 applies.
❑ A Network Provider for motor vehicle information for Third Parties. Attachment 9 applies.
❑ A Govemment Entity to obtain driver license information through an existing Network Provider service.
Attachments 2 and 7 apply.
❑ A Government Entity to obtain motor vehicle information through existing Network Provider service.
Attachments 7 and 10 apply.
❑ A Requesting Party of motor vehicle information accessed through the Division of Motor Vehicles public
records section. Attachments 7 and 8 apply.
❑ A Requesting Party of driver license information accessed through the Division of Driver Licenses Bureau
of Records. Attachments 3 and 7 apply.
❑ A Requesting Party of periodic driver license information for insurance underwriting accessed through the
Division of Driver Licenses Bureau of Records. Attachments 4 and 7 apply.
❑ A Requesting Party of traffic crash information accessed through the Division of Administrative Services.
Attachment 7 applies.
❑ A network provider of driver license information for authorized Government Entities. Attachment 5
applies.
❑ A Network Provider of driver license information status check. Attachment 6 applies.
A governmental entity accessing data through one of the Driver License and Vehicle Information Database
systems. Attachment 7 applies.
without access to driver license photographs and signatures.
✓ with access to driver license photographs and signatures, as authorized by section 322.142(4),
Florida Statutes.
❑ Other Requesting Party. Attachment 7 applies.
Received by(InitiaVDate)
For Department Use Only: Requestor is authorized to receive data from: ✓ DL; ✓ MV; Crash
Data Exchange MOU (Rev. 01/10) Page 1 of 7
•
IL Definitions
A. "Driver's Privacy Protection Act" (DPPA) -18 United States Code section 2721 et seq.
B. "Providing Agency" - The Department of Highway Safety and Motor Vehicles. The agency responsible for
granting access to driver license, motor vehicle, or traffic crash data to the Requesting Party.
C. "Requesting Party" - Any entity type that is expressly authorized by section 119.0712(2), Florida Statutes
and DPPA to receive personal information and highly restricted personal information that requests
information contained in a driver license, motor vehicle, or traffic crash record.
D. "Parties" - The Providing Agency and the Requesting Party.
E. "Third Party" - Any individual, association, organization, or corporate entity who receives driver license,
motor vehicle, or traffic crash information or data maintained and released by the Providing Agency or
Requesting Party.
F. "Govemment Entity" - Any federal, state, county, or city govemment, including any court or law enforcement
agency. [Fees do not apply to Govemment Entities.]
G. "Network Provider" - A Requesting Party whose access is provided by remote electronic means through the
System to request specific types of data at a minimum of 5,000 transactions per month. A six (6) month
startup period will be allowed for new Network Providers, during which time, Tess than 5,000 transactions per
month will be accepted.
H. "Personal Information" - Information found in the motor vehicle or driver record which includes, but is not
limited to, the subject's driver identification number, name, address, telephone number, and medical or
disability information. Personal information does not include information related to vehicular crashes, driving
violations, and driver's status.
I. "Vendor Number" - A four digit number assigned by the Providing Agency identifies the type and duration of
the Driver License record. The vendor number is assigned to both commercial vendors and Government
Entities by the Providing Agency, Division of Driver License, Bureau of Records. Misuse of a vendor number
to obtain driver license record information is strictly prohibited and shall be grounds for termination in
accordance with Section X.
J. "Driver license information" - driver license and identification card data collected and maintained by the
Providing Agency.
K. "Motor vehicle information" - title and registration data collected and maintained by the Providing Agency for
vehicles, vessels, and mobile homes.
L. "Traffic crash information" - traffic crash data and traffic crash reports collected and maintained by the
Providing Agency.
III. Legal Authority
WHEREAS, the Providing Agency maintains computer databases containing information pertaining to driver licenses
pursuant to Chapter 322, Florida Statutes; and
WHEREAS, the Providing Agency maintains computer databases containing information pertaining to motor vehicles
pursuant to Chapters 319 and 320, Florida Statutes; and
WHEREAS, the Providing Agency maintains computer databases containing information pertaining to traffic crashes
pursuant to Chapter 316 and 321, Florida Statutes; and
WHEREAS, the driver license, motor vehicle, and traffic crash data contained in the Providing Agency databases is
defined as public record pursuant to Chapter 119, Florida Statutes; and
Data Exchange MOU (Rev. 01/10) Page 2 of 7
WHEREAS, the Providing Agency as custodian of the foregoing records may provide access by remote electronic
means and charge a fee for the direct and indirect costs of providing such access, pursuant to sections 119.0712(2),
320.05, 321.23, and 322.20, Florida Statutes, and other applicable rules and policies; and
WHEREAS, the Requesting Party may obtain via remote electronic means blocked personal information exempt
from public disclosure as provided pursuant to section 119.0712(2), Florida Statutes, the Requesting Party shall
maintain the confidential and exempt status of such data. Anyone accessing records obtained per this agreement
must ensure that the end users of the records are complying with section 119.0712(2), Florida Statutes and DPPA.
NOW THEREFORE, the Parties, in consideration of the promised and mutual covenants hereinafter contained, do
hereby enter into this MOU.
IV. Statement of Work
A. The Providing Agency agrees to:
1. Provide the Requesting Party with the technical specifications required to access driver license, motor
vehicle or traffic crash information in accordance with the access method being requested.
2. Allow the Requesting Party /Network Provider to electronically access driver license and /or motor vehicle
and /or traffic crash information through a telecommunications link to be established between the
Requesting Party/Network Provider's computer and the Providing Agency.
3. Accept the Requesting Party/Network Provider's electronic requests and respond with appropriate data.
At a minimum, 90% of the responses to electronic requests from Network Providers will occur within 15
seconds of receiving the transaction.
4. Collect all fees, pursuant to applicable Florida Statutes, rules and policies for providing the electronically
requested data. The fee shall include all direct and indirect costs of providing remote electronic access,
according to section 119.07(2)(c), Florida Statutes.
5. Collect all fees due for electronic requests through the Automated Clearing House account of the
banking institution which has been designated by the treasurer of the State of Florida for such purposes.
6. Discontinue access of the Requesting Party for non - payment of required fees. The Providing Agency
shall not be responsible for the failure, refusal, or inability of the Requesting Party /Network Provider to
make the required payments, or interest on late payments for periods of delay attributable to the action
or inaction of Network Providers.
7. Not indemnify or be liable to the Requesting Party/Network Provider for any driver license, motor vehicle,
or traffic crash information, programs, job streams, or similar items delayed, lost, damaged, or destroyed
as a result of the electronic exchange of data pursuant to this MOU, except as provided in section
768.28, Florida Statutes.
8. Provide the Requesting Party with a schedule of fees appropriate for the information being provided by
the Providing Agency.
9. Notify the Requesting Party/Network Provider thirty (30) days prior to changing any fee schedules when
it is reasonable and necessary to do so, as determined by the Providing Agency. The Requesting
Party/Network Provider may continue with this MOU as modified or it may terminate the MOU in
accordance with Section X., subject to the payment of all fees incurred prior to termination.
10. Perform all obligations to provide access under this MOU contingent upon an annual appropriation by the
Legislature.
11. Provide electronic access for Network Providers to driver license and /or motor vehicle information 24
hours a day, 7 days per week other than scheduled maintenance or other uncontrollable disruptions.
Scheduled maintenance normally occurs Sunday mornings between the hours of 6:OOAM to 10:OOAM.
Data Exchange MOU (Rev. 01 /10) Page 3 of 7
B. The Requesting Party agrees to:
1. For a Network Provider, submit no less than 5000 transactions per month. (This does not apply to
Govemment Entities.]
2. For a Government Entity, driver license, motor vehicle, or traffic crash information may only be used for
the express purposes originally agreed to by the Government Entity and Providing Agency. Information
obtained from the Providing Agency by a Govemment Entity shall not be retained by the Government
Entity, unless obtained for a law enforcement purpose, or resold to any Third Party.
3. Be responsible for interfacing with any and all Third Party end users. The Providing Agency will not
interact directly with any Third Party end users. Requesting Party shall not give Third Party end users
the name, E -mail address, and /or telephone number of any Providing Agency employee without the
express written consent of the Providing Agency. /This does not apply to Govemment Entities.]
4. Maintain a help desk for its Third Party end users. Personnel assigned to this help desk shall be fully
trained on all aspects of the electronic access and shall be prepared to answer all Third Party end user
questions. In cases where the Requesting Party/Network Provider help desk personnel are unable to
answer a question from a Third Party end user and that question must be answered by Providing Agency
personnel; the Requesting Party shall obtain the answer from the Providing Agency and then relay the
answer to the Third Party end user. [This does not apply to Government Entities.]
5. Insure that its employees and agents comply with Section V. Safeguarding Information procedures of this
MOU.
6. Not assign, sub - contract, nor otherwise transfer its rights, duties, or obligations under this MOU without
the express written consent and approval of the Providing Agency.
7. Use the information received from the Providing Agency only for the purposes authorized by this
agreement.
8. Protect and maintain the confidentiality and security of driver license, motor vehicle, and traffic crash
information received from the Providing Agency in accordance with this MOU and applicable state and
federal law.
9. To the extent allowed by law, the Requesting Party shall defend, hold harmless and indemnify the
Providing Agency and its employees or agents from any and all claims, actions, damages, or losses
which may be brought or alleged against its employees or agents for the Requesting Party's negligent,
improper, or unauthorized use or dissemination of information provided by the Providing Agency.
10. Update user access permissions upon termination or reassignment of users within 5 working days and
immediately update user access permissions upon discovery of negligent, improper, or unauthorized use
or dissemination of information. Conduct quarterly quality control reviews to ensure all current users are
appropriately authorized.
11. For all records containing personal information released to a Third Party, maintain for a period of 5 years,
records identifying each person or entity that receives the personal information and the permitted
purpose for which it will be used. The Requesting Party shall make these records available for
inspection upon request by the Providing Agency. [This does not apply to Govemment Entities.]
12. Pay all costs associated with electronic access of the Providing Agency's driver license and /or motor
vehicle and /or traffic crash information; such costs shall include all one time, recurring, and usage
charges for all hardware, software, and services required to connect to and use the electronic access.
Payment must be in advance of receiving any information or use electronic means as follows:
• Complete and sign the appropriate document(s) to allow the Providing Agency's designated banking
institution to debit the Requesting Party's designated account.
• Maintain an account with a banking institution as required by the Providing Agency.
Data Exchange MOU (Rev. 01/10) Page 4 of 7
• Pay all fees due the Providing Agency by way of the Automated Clearing House account of the
Providing Agency's designated banking institution. Collection of transaction fees from eligible and
authorized Third Party end users is the responsibility of the Requesting Party.
V. Safeguarding Information
The Parties shall access, use and maintain the confidentiality of all information received under this agreement in
accordance with Chapter 119, Florida Statutes, and DPPA. Information obtained under this agreement shall only be
disclosed to persons to whom disclosure is authorized under Florida law and federal law. Any person who willfully
and knowingly violates any of the provisions of this section is guilty of a misdemeanor of the first degree punishable
as provided in sections 119.10 and 775.083, Florida Statutes. In addition, any person who knowingly discloses any
information in violation of DPPA may be subject to criminal sanctions and civil liability.
The Parties mutually agree to the following:
A. Information exchanged will not be used for any purposes not specifically authorized by this agreement.
Unauthorized use includes, but is not limited to, queries not related to a legitimate business purpose,
personal use, and the dissemination, sharing, copying or passing of this information to unauthorized persons
B. Information exchanged by electronic means will be stored in a place physically secure from access by
unauthorized persons.
C. Access to the information exchanged will be protected in such a way that unauthorized persons cannot
review or retrieve the information.
D. All personnel with access to the information exchanged under the terms of this agreement will be instructed
of, and acknowledge their understanding of, the confidential nature of the information. These
acknowledgements must be maintained in a current status by the Requesting Party.
E. All personnel with access to the information will be instructed of, and acknowledge their understanding of,
the criminal sanctions specified in state law for unauthorized use of the data. These acknowledgements
must be maintained in a current status by the Requesting Party.
F. All access to the information must be monitored on an on -going basis by the Requesting Party. In addition,
the Requesting Party must complete an annual audit to ensure proper and authorized use and
dissemination.
G. By signing the MOU, the representatives of the Providing Agency and Requesting Party, on behalf of the
respective Parties attest that their respective agency procedures will ensure the confidentiality of the
information exchanged will be maintained.
VI. Compliance and Control Measures
A. Internal Control Attestation - This MOU is contingent upon the Requesting Party having appropriate
internal controls over personal data sold or used by the Requesting Party to protect the personal data from
unauthorized access, distribution, use, modification, or, disclosure. Upon request from the Providing
Agency, the Requesting Party must submit an attestation from a currently licensed Certified Public
Accountant performed in accordance with American Institute of Certified Public Accountants (AICPA)
"Statements on Standards for Attestation Engagement". The attestation must indicate that the internal
controls over personal data have been evaluated and are adequate to protect the personal data from
unauthorized access, distribution, use, modification, or disclosure. The attestation must be received by the
Providing Agency within 120 days of the written request. The Providing Agency may extend the time to
submit the attestation upon written request and for good cause shown by the Requesting Agency. See
Section XI for complete mailing address
B. Misuse of Personal Information — The Requesting Party must immediately notify the Providing Agency and
the affected individual following the determination that personal information has been compromised of any
unauthorized access, distribution, use, modification, or disclosure. The statement to the Providing Agency
must provide the date and the number of records affected by any unauthorized access, distribution, use,
modification, or disclosure of personal information. Further, as provided in section 817.5681, Florida
Data Exchange MOU (Rev. 01/10) Page 5 of 7
Statutes, the document must provide a statement advising if individuals whose personal information has
been compromised have been notified and, if not, when they will be notified. The statement must include the
corrective actions and the date these actions are completed by the Requesting Party. See Section XI for
complete mailing address.
C. The Providing Agency shall receive an annual affirmation from the Requesting Party indicating compliance
with the requirements of this agreement no later than 30 days after the anniversary date of this agreement.
VII. Reimbursement Of Costs
Providing Agency will debit the account of the Requesting Party currently on file. The amount debited will be in
accordance with sections 320.05 and 322.20 Florida Statutes and with this MOU. Specific fee calculations are
incorporated by an attachment to this MOU. [This does riot apply to Government Entities.]
VIII. Period of Performance
This MOU shall be effective upon the last signature of the Parties to this agreement and will remain in effect for three
years from the date of execution, as provided in Section X. Once executed, this MOU supersedes all previous
agreements for these conditions of services defined in Section I.
IX. Amendments
A. This MOU incorporates all prior negotiations, interpretations, and understandings between the Parties, and is
the full expression of their agreement.
B. This MOU may be subsequently amended by written agreement between the Parties. Any change,
alteration, deletion, or addition to the terms set forth in this MOU and its numbered addendums must be by
written agreement executed by both Parties.
C. All provisions not in conflict with the amendment(s) shall remain in effect and are to be performed as
specified in this MOU.
X. Termination
A. This agreement may be terminated for cause by either party upon finding that the terms and conditions
contained herein are not being followed. No written notice or notifying period will be required.
B. This agreement is subject to unilateral cancellation by the Providing Agency without notice for failure of the
Requesting Party to comply with any of the requirements of the MOU and applicable Florida Statutes,
including section 119.0712(2), Florida Statutes.
C. The Contract may be terminated upon thirty (30) days notice in writing to the Contract Manager without
penalty to either party. All obligations of either party under the contract will remain in force during the thirty
(30) day notice period.
Data Exchange MOU (Rev. 01/10) Page 6 of 7
XI. Agency Contacts
Any and all inquiries or written communications pertaining to this MOU shall be sent to the Contract Administrator.
Contract Administrator
Department of Highway Safety and Motor Vehicles
2900 Apalachee Parkway
Neil Kirkman Building, Room B -418, MS 31
Tallahassee, Florida 32399 -0524
(850) 617 -3203 — Phone
(850) 617 -5115 — Fax
The Contract Managers responsible for management and monitoring of the performance of the terms and conditions
of this MOU are as follows:
Driver License and Insurance Records Motor Vehicle and Vessel Records
Dana Raiding— Contract Manager Boyd Walden— Contract Manager
Chief of Driver License Records - DDL Chief of Titles and Registrations -DMV
Department of Highway Safety & Motor Vehicles Department of Highway Safety & Motor Vehicles
Kirkman Building, Room A234, MS 89 Kirkman Building, Room A338, MS 68
2900 Apalachee Parkway 2900 Apalachee Parkway
Tallahassee, Florida 32399 -0575 Tallahassee, Florida 32399 -0530
Network Providers Crash Records
Dana Reiding — Contract Manager Jim Hage — Contract Manager
Boyd Walden — Contract Manager Crash Records Manager
Department of Highway Safety & Motor Vehicles
Kirkman Building, Room B431, MS 20
2900 Apalachee Parkway
Tallahassee, Florida 32399 -0500
IN WITNESS HERETO, the PARTIES have executed this Agreement by their duly authorized officials.
Requesting Party: Providing Agency:
Florida Department of Highway Safety
and Motor Vehicles
2900 Apalachee Parkway
Tallahassee, Florida 32399
By: By:
Kevin L. Smith Kevin Bailey
Printed/Typed Name Printed/Typed Name
City Manager Chief of Purchasing & Contracts
Title Title
March 26, 2010 DATE
Date Date
ksmith @winterspringsf1.org
E -Mail Address
Data Exchange MOU (Rev. 01/10) Page 7 of 7
ATTACHMENT 7
Requesting Party Data Access Specifications
Contract Number 649- 09amend.
I. Access Method or Condition. The Requesting Party shall attest to their respective statutory eligibility by
completing the DPPA Form (HSMV 96015).
11. Access Specifications. Please list each separate organizational unit requiring access within your Department.
Organizational Unit Description of specific use of data, to
Number of
(Division, Bureau, Description of specific data include statutory or administrative rule members
Division needed requiring
Program, Office) requirements.
access
Communications Access to Driver and Vehicle 14
Information Database (DAVID) for law
Administrative enforcement purposes. 19
License and Vehicle
Investigations Information 8
Patrol 50
111. Requesting Party Information. Requesting Party contact information is as follows (all information required):
Managerial Contact Name: Point of Contact Name:
Phone number: Phone Number:
Email address: Email address:
Requesting Party: Providing Agency:
Winter Springs Police Department Florida Department of Highway Safety
300 North Moss Road and Motor Vehicles
Winter Springs, FL 32708 2900 Apalachee Parkway
Tallahassee, Florida 32399
I attest that the foregoing Is true and accurate to
the best of my knowledge d belief.
By: By:
Kevin L. Smith Kevin Bailey
Printed/Typed Name Printed/ Typed Name
City Manager Chief of Purchasing & Contracts
Title Title
March 26, 2010
Date Date
Data Exchange MOU - Attachment 07 (05/2008) Page 1 of 1
FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
Request For Exempt Personal Information In A Motor Vehicle/Driver License Record
The Driver's Privacy Protection Act, 18 United States Code sections 2721 -2725 ( "DPPA ") make personal information contained in
motor vehicle or driver license records confidential and exempt from disclosure. Personal information in a motor vehicle record
includes, but is not limited to, an individual's social security number, driver license or identification number, name, address,
telephone number, medical or disability information, and emergency contact information. Personal information does not include
information related to vehicular crash data (such as occurrence of a crash, speed, vehicle identity, alcohol use, location, and cause of
crash), driving violations, and driver status. Personal information from these records may only be released to individuals or
organizations that qualify under one of the exceptions provided in DPPA, which are listed on the back of this form. A request for
information may be made in letter form (on company /agency letterhead, if appropriate) stating the nature of the request, the
exception under which the request is made, the use of the information, and a statement that the information will not be used or
redisclosed except as provided in DPPA, or by completing the information below.
Please complete either Part I or Part II:
Part I:
I am an individual requesting personal information contained in the motor vehicle, vessel, crash or driver license record of the
following individual(s) (attach additional pages if necessary), under exception number , as listed on the reverse
side of this form:
Name:
Vehicle/Vessel Title Number: Vehicle License Plate Number:
Florida Driver License/Identification Card Number:
Florida Traffic Crash Report Number:
Section 316.066(5)(a), F.S. limits who may obtain a crash report within 60 days after the report is filed. I declare that I am
qualified to obtain this information under Crash Report exception number , as listed on the reverse side of this
form. Proof of identification is required.
Part II:
I am a representative of an organization requesting personal information for one or more records as described below. I declare
that my organization is qualified to obtain personal information under exception number 2 , as listed on the
reverse side of this form.
I understand that I may not use or redisclose this personal information except as provided in DPPA and that any use or
redisclosure in violation of these statutes may subject me to criminal sanctions and civil liability.
The information will be used as follows (attached additional page, if necessary):
Law Enforcement use
Winter Springs Police Department Kevin L. Smith, City Manager
Company or Agency Name (if applicable) Printed Name of Requestor or Authorized Agent
Obtaining personal information under false pretenses is a state and federal crime. Under penalties of perjury, I declare that I
have read the foregoing Request For Exempt Personal Information In A Motor Vehicle/Driver License Record and that the facts
4 /
stated in it are true.
--:_...Z . , i
March 26, 2010
Sign re of Requ t6r or Auth rized Agent Date
HSMV 96015 (10/09)
DRIVER'S PRIVACY PROTECTION ACT EXCEPTIONS
1. For use in connection with matters of motor vehicle or driver safety theft, motor vehicle emissions, motor vehicle product alterations, recalls,
or advisories, performance monitoring of motor vehicles and dealers by motor vehicle manufacturers, and removal of non -owner records from the
original owner records of motor vehicle manufacturers, to carry out the purposes of the Anti Car Theft Act of 1992, the Automobile Information
Disclosure Act, the Clean Air Act, and chapters 301, 305, and 321331 of title 49 U.S.C.
2. For use by any government agency, including any court or law enforcement agency, in carrying out its functions, or any private person or entity
acting on behalf of a federal, state, or local agency in carrying out its functions.
3. For use in connection with matters of motor vehicle or driver safety and theft; motor vehicle emissions; motor vehicle product alterations, recalls,
or advisories; performance monitoring of motor vehicles, motor vehicle parts, and dealers; motor vehicle market research activities, including survey
research; and removal of non -owner records from the original owner records of motor vehicle manufacturers.
4. For use in the normal course of business by a legitimate business or its agents, employees, or contractors, but only:
(a) To verify the accuracy of personal information submitted by the individual to the business or its agents, employees, or contractors; and
(b) If such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the purposes of
preventing fraud by, pursuing legal remedies against, or recovering on a debt or security interest against, the individual.
5. For use in connection with any civil, criminal, administrative, or arbitral proceeding in any court or agency or before any self - regulatory body for:
(a) Service of process by any certified process server, special process server, or other person authorized to serve process in this state.
(b) Investigation in anticipation of litigation by an attomey licensed to practice law in this state or the agent of the attorney; however, the
information may not be used for mass commercial solicitation of clients for litigation against motor vehicle dealers.
(c) Investigation by any person in connection with any filed proceeding; however, the information may not be used for mass commercial
solicitation of clients for litigation against motor vehicle dealers.
(d) Execution or enforcement of judgments and orders.
(e) Compliance with an order of any court.
6. For use in research activities and for use in producing statistical reports, so long as the personal information is not published, redisclosed, or
used to contact individuals.
7. For use by any insurer or insurance support organization, or by a self - insured entity, or its agents, employees, or contractors, in connection
with claims investigation activities, antifraud activities, rating, or underwriting.
8. For use in providing notice to the owners of towed or impounded vehicles.
9. For use by any licensed private investigative agency or licensed security service for any purpose permitted under this paragraph. Personal
information obtained based on an exempt driver's record may not be provided to a client who cannot demonstrate a need based on a police report,
court order, or a business or personal relationship with the subject of the investigation.
10. For use by an employer or its agent or insurer to obtain or verify information relating to a holder of a commercial driver's license that is
required under 49 U.S.C. ss. 31301 et seq.
11. For use in connection with the operation of private toll transportation facilities.
12. For bulk distribution of surveys, marketing, or solicitations when the department has obtained the express consent of the person to who such
personal information pertains.
13. For any use if the requesting person demonstrates that he or she has obtained the written consent of the person who is the subject of the motor
vehicle record.
14. For any other use specifically authorized by state law, if such use is related to the operation of a motor vehicle or public safety.
15. For any other use if the person to whom the information pertains has given express consent on a form prescribed by the department. Such
consent shall remain in effect until it is revoked by the person on a form prescribed by the department.
CRASH REPORT EXCEPTIONS
1. I am a party involved in the crash.
2. I am a legal representative or an immediate relative of a party involved in the crash.
3. I am a licensed insurance agent to a party involved in the crash, their insurer, or insurers to which they applied for insurance coverage.
4. I am a person under contract to provide claims or underwriting information to a qualifying insurance company.
5. I am a prosecuting attorney.
6. 1 represent a radio or television station licensed by the FCC or newspaper qualified to publish legal notices or a free newspaper of general
circulation, which qualifies under statute.
7. I represent a local, state, or federal agency that is authorized by law to have access to these reports.
8. I represent a Victim Service Program, as defined in Section 316.003(85), Florida Statutes.
HSMV 96015 (10/09)
.
ANNUAL AFFIRMATION STATEMENT
In accordance with Section VI., Part C, of the Memorandum of
Understanding between Department of Highway Safety and Motor Vehicles
and Winter Springs Police Department (Requesting Agency) hereby Affirms that
the requesting agency has evaluated and have adequate controls in place to
protect the personal data from unauthorized assess, distribution, use and
modification or disclosure and is in full compliance as required in the contractual
agreement, Contract number HSMV 0649 -09
Si ture /
Kevin L. Smith
Printed Name
City Manager
Title
March 26, 2010
Date
Winter Springs Police Department
NAME OF AGENCY / COMPANY
DR /Ib