MVR Release Form

Please fill out the Motor Vehicle Record (MVR) Release Form below.

Updated: Jan 16, 2022 / • required fields

date

First Name

First name required

Last Name

Last name required

CDL Number

Valid CDL Number required

CDL State

CDL State required

Social Security Number

Social Security Number required

Birthday

required

I am applying for a position as a tractor-trailer driver with Atlantic Bulk Carrier Corp. ^●

I understand driving a company vehicle (or my own vehicle, as required) is a requirement of the position I am being considered for and I understand having and maintaining a satisfactory driving record is a condition of my employment. I agree to allow Atlantic Bulk Carrier or its designated agent to check my driving record prior to hire and to check periodically thereafter. I further agree to report to my supervisor immediately any license suspension, moving violations, motor vehicle accidents or any other condition that may affect my ability to drive a company vehicle (or my own vehicle, if I am required to drive it) after I am hired. I agree to obtain a driver's license and any required endorsements prior to hire, if I do not already have those. ^●

I understand that Atlantic Bulk Carrier will use this information for employment purposes only and will not furnish this information to a third party without my consent. ^●