Driver Background Check Authorization

I authorize the company to obtain my background check report in accordance with applicable laws and regulations as part of the driver qualification process.

Personal Information

Full Name Date of Birth Driver's License Number State of Issue Address City State Zip Code Email

Authorization & Disclosure

I acknowledge that I have read and understand this authorization and disclosure. I consent to the release of background information as required for employment or engagement as a driver.

I agree and authorize the company to obtain my background check report.