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---
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# DMV Photo
| Subject Information | |
|----------------------------------------------------|---------|
| Name: | |
| ClientiD: | |
| Case Number: | SI |
| DMV Transaction Number: | 1069006 |
| DMV Transaction Date/Time: 2019-06-05 18:36:18:690 | |
# Request for NYS DMV P OTO IMAGE
| To: | New York Ops Center (NYOC)<br>[office: 212-384-2921; fax: 212-384-4073 or 4074) | | |
|-------------------------------|----------------------------------------------------------------------------------------|-----------------------|------------------------------|
| Requestor Email: | | Sq t | e--;<br>ad: |
| 1) Name & Rank of Requestor. | | | Ir***sh*******—Ir |
| | MUST be Special Agent or other 3, | | --n.freevisac |
| 2) Name & Rank of Supervisor: | MUST be Supervisory Special Agent or of | | e support personnel |
| 3) Subject Name: | | | |
| | 4) DMV Client ID # (Nine Digits):<br>If nn Client ID available, include Subject's D rB | | |
| | role one): | | |
| | ant Investigation<br>6) Exigent Circums ances (if applicable)*: | Witness Investigation | Missing Person Investigation |
| Comments | | | |
| 7) Case number: | | | |
| | 8) Phone number of Requestor: | | |
The requestor acknowledges that the mquested image cannot be used as filjgg in a phot in an any if the subject of the DMV photo is the subject in the photo array. A new request unrelated criminal investigation. The digital image obtained will not be saved in a database subsequent use unrelated to the original investigation. 1' it. y, the OW photo may only be used r a photo image must be made for any stored in any manner for secondary or
I hereby certify that the above-requested DMV Photo Image b relevant to as a my knowledge, the subject of interest possesses a driver's II e, learner's permit or non New York State DA J and acknowledge hat I r oat was for an hope Investigation and that, to the best of ;river identtlleatIon card issued the 1 ... Me jurrpose I may be subject to
| | /, |
|--------|------|
| | |
| ature) | Date |
*When the exigent circumstances exception applies, the "Comments" section must identify the t urgency. In addition, the "Request for DNS/ Photo Imago — Exigent Cncwmtances" form must requesting agency. f investigation and explain the pitted and retained by the
|