MVR_RELEASE_CONSENT

MVR RELEASE CONSENT FORM
In conjunction with my employment, or volunteer work, at/with WE GOT THIS

TRUCKING LLC (“the company”), I ___________________________(applicant)

Consent to the release of my Motor Vehicle (MVR) to the company. 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.
Applicant Name*
Individual or Company Name
Applicant Signature*

Clear
Drivers License Number*
State*
Date Of Birth*

MonthDayYear
Date
Last "4" digits of Social Security #*
Date*

MonthDayYear
Date
We Got This Trucking LLC. loss control service is advisory only. We assume no responsibility for management or control of customer loss control activities nor for implementation of recommended corrective measures. This report is based on information supplied by the customer and observations of conditions and practices at the time of the visit. We have not tried to identify all hazards. We do not warrant that requirements of any federal, state or local law, regulation or ordinance have or have not been met.
Please verify that you are human*
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MVR RELEASE CONSENT FORM