MVR


MVR RELEASE CONSENT FORM

 

In conjunction with my potential employment at BENEFIT TRUCKING INC (“the company”),

I hereby consent to the release of my Motor Vehicle Records (MVR) to the company.

I understand the company will use these records to evaluate my suitability to fulfill driving

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..

 

Drivers License Number

Drivers License State

 

 

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Signature Certificate
Document name: MVR
lock iconUnique Document ID: 2e4738b69780d79e5f278e16d17a2459f18b9290
Timestamp Audit
March 22, 2019 4:29 pm CDTMVR Uploaded by Fausta Mikniute - matt@benefit-trucking.com IP 50.194.84.129
July 2, 2019 1:14 pm CDTBenefit website - contact@benefit-trucking.com added by Fausta Mikniute - matt@benefit-trucking.com as a CC'd Recipient Ip: 50.194.84.129