Ohio BMV 2095 Form: Record Confidentiality Waiver – Ohio drivers and vehicle owners who want control over how the Bureau of Motor Vehicles (BMV) shares their personal information need to understand Form BMV 2095. Officially titled the Record Confidentiality Waiver, this form is the state’s designated “opt-in” document under federal and Ohio privacy laws. It allows individuals to authorize the release of certain personal information from motor vehicle records that is otherwise protected.
This guide explains what the form does, when you might need it, how to complete it correctly, and where to obtain the official version. All information is drawn from current Ohio BMV resources and the Ohio Administrative Code.
What Is Ohio Form BMV 2095?
Form BMV 2095 is the official Record Confidentiality Waiver issued by the Ohio Bureau of Motor Vehicles. It is the only form the BMV accepts for giving “express consent” (also called opt-in) to disclose personal information contained in motor vehicle records.
Under the federal Driver’s Privacy Protection Act (DPPA) and Ohio Revised Code Section 4501.27, the BMV generally may not release personal information—such as name, address (beyond the five-digit ZIP code), date of birth, or driver’s license number—for marketing, surveys, solicitations, or individual requests unless the individual has given written express consent. Form BMV 2095 is the prescribed method for providing that consent.
The current revision of the form is BMV 2095 (8/12). It remains the active version referenced in Ohio Administrative Code Rule 4501:1-12-02 (effective July 1, 2024).
Purpose of the Record Confidentiality Waiver
By default, the Ohio BMV does not release personal information to businesses for bulk distribution for surveys, marketing, or solicitations. The same protection applies to most individual requests for personal information. Form BMV 2095 lets you change that default by authorizing release in three specific categories:
- Mail Offer Opt-In — Authorizes release of your name, address, and other personal information to businesses for bulk distribution related to surveys, marketing, and solicitations.
- Individual Look-Up Opt-In — Authorizes release of your name, address, and other personal information when another individual requests it.
- Medical and Disability Information Opt-In — Authorizes release of medical and disability information from your motor vehicle record to individuals, businesses, or other requesters.
Even when you mark “Yes” on the form, the BMV will never release your Social Security number or digital photograph.
Key Sections of Form BMV 2095
The form is divided into three clear opt-in sections followed by personal identification fields and a signature block:
- Section A – Mail Offer Opt-In: Choose Yes or No to allow bulk release for marketing and solicitations.
- Section B – Individual Look-Up Opt-In: Choose Yes or No to allow release to other individuals who request your information.
- Section C – Medical and Disability Information Opt-In: Choose Yes or No to allow release of medical and disability data.
You must also print your full name, date of birth, Social Security number, driver’s license number, license plate number, title number (if applicable), and vehicle identification number (VIN). Incomplete forms will not be processed or returned.
Important notices printed on the form include:
- The BMV provides personal information only within the limits of the law based on the choices you mark.
- Only the individual (or a guardian or attorney with written authorization) may authorize the release.
- For joint applications, information for both individuals will be provided.
- The authorization takes effect only after the form is received and processed by the BMV in Columbus.
How to Complete and Submit Ohio BMV 2095?
Follow these steps to ensure your form is accepted:
- Download the official PDF or obtain a paper copy at any BMV office, deputy registrar license agency, or clerk of courts title office.
- Print the form and complete all sections in ink. Mark only one choice (Yes or No) for each of the three opt-in questions.
- Fill in every identification field accurately. Include your Social Security number if you want the consent to apply to all motor vehicle records linked to that number.
- Sign and date the form.
- Submit the completed form by one of these methods:
- Mail to: Ohio Bureau of Motor Vehicles, Attn: License Support Services, P.O. Box 16520, Columbus, OH 43216-6520
- In person at any Ohio BMV office, deputy registrar, or title office
The BMV does not process incomplete forms. Processing occurs only after the form reaches the main office in Columbus. You may rescind consent at any time by submitting a new BMV 2095 that withdraws the previous authorization.
Where to Download Form BMV 2095?
The official Ohio Form BMV 2095 can be downloaded directly from the state’s document repository:
Download Ohio BMV 2095 Record Confidentiality Waiver (PDF)
You can also find the form listed under “Records” on the official Ohio BMV Documents & Fees page: https://www.bmv.ohio.gov/doc-forms.aspx.
Paper copies are available free of charge at every deputy registrar license agency and clerk of courts title office throughout Ohio.
Important Limitations and Privacy Protections
Understanding what the form does not do is as important as knowing what it allows:
- Social Security numbers and digital photos are never released, even with express consent.
- The form does not authorize release for every possible purpose. Statutory exceptions under the DPPA and Ohio law still govern many disclosures (for example, to law enforcement, insurers for claims investigation, or courts).
- For one-time, specific written consent to a particular requester, the BMV requires the separate Notarized Written Consent Release Personal Information (Form BMV 5008).
- Peace officers, correctional employees, and certain other protected individuals who wish to restrict disclosure of their residence address use a different form (BMV 2610 – Authorized Official Record Confidentiality Request).
These protections exist because Ohio follows an opt-in model for most commercial and individual uses of personal information, giving drivers greater control than many other states.
Related Forms and Official Resources
Drivers who need to request or restrict motor vehicle records should also be familiar with these related documents:
- BMV 1173 – Record Request Form (used by third parties to request records)
- BMV 5008 – Notarized Written Consent Release Personal Information
- BMV 2610 – Authorized Official Record Confidentiality Request (for eligible public safety personnel)
For the most current rules governing disclosure of personal information, refer to Ohio Administrative Code Rule 4501:1-12-02 and Ohio Revised Code Section 4501.27, both available on the official Ohio Laws website.
Frequently Asked Questions About BMV 2095
Is there a fee to submit Form BMV 2095?
No. The form is free, and there is no processing fee.
How long does the authorization last?
The consent remains in effect until you submit a new form that withdraws it. It applies to all motor vehicle records linked to the identifying information you provide.
Can someone else complete the form for me?
Only the individual, a legal guardian, or an attorney presenting signed written authorization may complete and submit the form.
Will marking “Yes” mean my information is sold to marketers?
Marking “Yes” on the Mail Offer Opt-In section authorizes the BMV to release the information for bulk distribution for surveys, marketing, and solicitations. The BMV does not itself sell lists for those purposes without your express consent.
Where can I get help if I have questions?
Contact the Ohio BMV at (844) 644-6268 (Monday–Friday, 8 a.m.–5 p.m.) or visit any local deputy registrar license agency.
Conclusion
Ohio Form BMV 2095 gives drivers a straightforward way to decide whether—and to what extent—the Bureau of Motor Vehicles may share their personal information. Because Ohio operates under an opt-in system, most personal data remains confidential unless you actively authorize its release. Completing the form accurately and submitting it to the address listed ensures your choices are recorded and respected.
Always download the form from the official state source to guarantee you are using the current version. For the latest updates or additional assistance, visit the official Ohio BMV website or speak with staff at a local deputy registrar office.
Download the Official Ohio BMV 2095 Record Confidentiality Waiver (PDF)