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MVR Release Consent Form
In conjunction with my employment,
I
consent to the release of my Motor Vehicle Record (MVR). I understand the company will use these records to evaluate my suitability to fulfill driving duties that may be related to the position for which I am applying. I also consent to the review, evaluation, and other use of any MVR I may have provided to the company.
This consent is given in satisfaction of Public Law 18 USC 2721 et. Seq.. "Federal Drivers Privacy Protection Act", and is intended to constitute "written consent" as required by this Act.
Name of Company
*
Signature - Full Name
*
Upload Image
Print Full Name
*
Today’s Date
*
Month
Social Security Number
*
Date of Birth
*
Month
Driver License Number
*
Issuing State
License Expiration Date
*
Month
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