MVR Driver Authorization & Release

  • I understand that the Employer or Insurer (“Company”) has my authorization to thoroughly investigate my background. I understand that the background report may include, but is not limited to, the following areas: Motor Vehicle Records, Drivers License Verification, FMCSA PSP Records, Drug Screening, PreEmployment Verification, Sexual Offender Lists, and Identity Verification.

    I hereby authorize an agent of the Company to make a thorough background investigation of all information given by me to the Company. This authorization shall remain on file by Company for the duration of my employment and will serve as ongoing authorization for Company and to procure my driving and background records at any time during my employment period. Reports are to be generated for employment, promotion, reassignment, retention as an employee, or insurance underwriting. I understand that the Company may take adverse action affecting my employment, based on information in my background report. Upon written request, will supply a copy of the completed background report along with a copy of an individual’s rights under the Fair Credit Reporting Act and I also understand that I have the right to dispute the accuracy of my driving record with A copy of this form is as valid as the original.

  • The following information is required for identification purposes when checking records. It is confidential and will not be used for any other purpose.

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  • Notice to New York Applicants: Under Article 25 Section 380-c (b) (2) of the New York General Business Law, you have the right, upon written request, to be informed of whether or not an investigative consumer report was requested.

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