You must complete and submit this form before your application is considered complete.

Motor Vehicle Reporting Disclosure

  • In accordance with the provisions of Sections 604(b)(2)(A) of the Fair Credit Reporting Act (Public Law 9 1-508), as amended by the Consumer Credit Reporting Act of 1996 (Title II, Subtitle D, Chapter I, of Public Law 104-208), you are being informed that a consumer report may be obtained on you for employment purposes.

    I acknowledge the receipt of the above disclosure and authorize the above named company to obtain a motor vehicle report only on me for employment purposes. This authorization is ongoing in the event such a report is needed in the future.