MVR Authorization

MVR Authotization

For employment purposes, MAC Pizza Management, Inc ("Company") may obtain consumer reports on you as an applicant or from time to time during employment. "Consumer reports" are reports from consumer reporting agencies, which include driving records and criminal records.

AUTHORIZATION: I authorize the Company to obtain consumer reports regarding me from time to time for employment purposes.

Legal First Name*

Legal Middle Name

No Middle Name

Check here if you have no Legal Middle Name

Legal Last Name*

Full Legal Name (First Middle and Last Name)*

Last 4 digits of SSN*

Other Full Legal Names used (if any)

Store #

Signature*

Date Signed*

MAC Pizza Management Inc is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit based factors.

Motor Vehicle Record (MVR) Authorization:

To ensure compliance with MAC Pizza and Domino's Pizza MVR and Driving Standard Policies, the past 3 years of driving history will be reviewed. Please list ALL US state driver licenses held within the past 3 years.

Date of Birth*

Date

Current Driver License #*

Current Driver License US State*

Current DL State Issued*

Enter state name or abbreviation

Previous Driver License #

Previous Driver License US State

Previous DL State Issued

Enter state name or abbreviation

Other Previous Driver License #

Other Previous Driver License US State

Other Previous DL State Issued

Enter state name or abbreviation

Social Security #

Date of Birth

Address

City

State

Zip Code

Phone

Email

example@example.com