MVR Form REV. 02182021
In connection with my ongoing employment or my application for employment, or should I have or secure a position with Allen Chase Enterprises, Inc., I understand that a motor vehicle record, which contains public record information, may be requested. I further understand that such report(s) will contain personal information and public record information concerning my driving record from federal, state, and other agencies that maintain such records, as well as independent services that provide driving record information.
I authorize, without reservation, any party or agency contacted to furnish the above-mentioned information to Allen Chase Enterprises, Inc. or its agent.
I hereby authorize procurement of my motor vehicle report. If qualified, this authorization shall remain on file and shall serve as ongoing authorization for you to procure such reports at any time during my contract or driving position. Allen Chase Enterprises, Inc.'s commercial auto insurer and agent will also use this information in conjunction with loss control and underwriting/safety review efforts.