Authorization to Obtain Motor Vehicle Record The District of Columbia classifies driver abstracts as privileged records and limits the release of an abstract of a driver's record to only an employer, potential employer, or authorized agent who has been authorized in writing by such driver to obtain the driver's record. THE UNDERSIGNED DOES HEREBY ACKNOWLEDGE AND CERTIFY AS FOLLOWS: 1. That the undersigned gives his or her consent to the release of their driving record (MVR) from the Department of Motor Vehicles that maintains it. 2. That the undersigned gives his or her consent to the release of their driving record (MVR) for review by L'Arche, Inc. DBA L'Arche Greater Washington DC. 3. That the undersigned authorized his or her driving record to be periodically obtained and reviewed for the purposes of initial and continued employment. 4. That the undersigned understands that his or her driving record may be provided to insurance carriers for the purpose of determining the insurability of certain hazards.Name of Employee/Employee Candidate(Required) First Name Last Name Date of Birth(Required) Month Day Year Driver's License Number(Required)State of Issuance(Required)Expiration of Driver's License(Required) Month Day Year Consent(Required) I hereby acknowledge and certify the four points above by my digital signature below.(Required)Signature(Required) First Name Last Name By typing your full legal name in the designated signature field, you are creating a digital signature that serves as your electronic consent and agreement to the terms outlined in this document. This digital signature carries the same legal weight as a handwritten signature and indicates your intention to be bound by the agreement. Please ensure your typed name matches your legal name exactly as it appears on official documents.CAPTCHA
