I understand that a Motor Vehicle Record (MVR), which contains personal and public record information, may be requested. I further understand that such report will contain personal information and public record information concerning my driving record from federal, state, and other agencies that maintain such records, as well as independent services that provide driving record information.I hereby authorize the procurement of my MVR. If hired, this authorization shall remain on file and shall serve as ongoing authorization for you to procure such reports at any time during my employment. I further authorize the release of my MVR to Research Underwriters and to the Insurance Company that handles the commercial automobile coverage for underwriting purposes only. Furthermore, the personal and public record information contained on any procured MVR throughout my employment is to remain confidential and private, and will not be released to any party that has not already been specified above. By providing my name below, I agree to the terms stated above. (Print name here if you agree) *
