MVR General Release Form

Today's Date:

MonthDayYear

Prospective Driver:*

First NameLast Name

Phone:*

Date of Birth*

Driver's license Number:*

State Issued:*

Address:*

City:*

State:*

Zip*

In conjunction with my potential employment at Monster Energy Co./All Pro Staffing. I consent to the release of my Motor Vehicle Records (MVR) to the company. I understand that 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 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 Policy Protection Act", and is intended to constitute "written consent"as required by this Act.

Signature*