MVR Driver Authorization


MVR Driver Authorization & Release

I understand and agree that: The information supplied on this release form is true and correct, to the best of my knowledge. The company has my authorization to thoroughly investigate my background. I understand that the background report may include, but is not limited to, the following areas: Motor Vehicle Records, FMCSA PSP Records, DOT Drug Testing, DOT Pre-employment Verification and Identity Verification. I hereby authorize an agent of the Company to make a thorough background investigation of all information given by me to the Company. I release from liability all persons, companies, and corporations supplying that information. Furthermore, I release and indemnify the Company and against any liability that might result from making such background checks. Upon Request, Employer or will supply a copy of the completed background report along with a copy of an individual’s rights under the Fair Credit Reporting Act. A copy of this form is as valid as the original.
The following information is required for identification purposes when checking records. It is confidential and will not be used for any other purpose.
Applicant’s Name:
Applicant’s Date of Birth: Applicant’s SSN (Last 4):
Drivers License No: State Issued:
Address (Current):
Company Requesting Report: E-Style Transport, LLC Company Location (State): ND
Applicant requests a copy of their MVR Background Report:
Applicants Signature: Date:
The services will be provided by, hereafter “MVCHK”. The Client agrees that it shall be responsible for any and all actions that it takes based on any reports MVCHK provides and further agrees that it has a permissible purpose under FCRA and DPPA to request the information. The Client shall defend, indemnify, and hold MVCHK and/or its subcontractors harmless from any and all losses, claims, demands, liability, causes of action, judgments, costs, and attorney fees ariving out of this Agreement, except to the extent that MVCHK is negligent. The Client hereby agrees to hold MVCHK and its officers, agents, employees, subcontractors, and independent subcontractors harmless on account of any expense, cost, or damage resulting from the publishing by the Client, or the employees, agents, or independent subcontractors of the Client, of any report information provided by MVCHK contrary to the terms of this Agreement or applicable laws, rules, or regulations. The Client certifies that the information in the reports from MVCHK will not be given to or resold to any other person or user and that the requests for information will not be made except within compliance with the FCRA and DPAA .

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Signature Certificate
Document name: MVR Driver Authorization
lock iconUnique Document ID: 28d50ee5146b6da7dfbbc5c462b688948712488b
Timestamp Audit
March 26, 2019 8:32 am CDTMVR Driver Authorization Uploaded by Bud Hawley - IP