MVR Release Consent Form

MVR Release Consent Form
In conjunction with my employment, at Name of Hiring Company*. I, Full Full Name* consent to the release of my Motor Vehicle Record (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.
Employee/Applicant Signature*

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Date of Birth*

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Social Security Number a question*
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Social Security Number a question*
State First: MO V0194735252
License Expiration Date*

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Issuing State*
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