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 StateChoose StateALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
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Document Name: MVR
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