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Motor Vehicle Release Authorization

It is understood that my job position requires (or may require) me to either drive a company owned vehicle or my own vehicle on company business.

I understand the insurance company writing my employer’s automobile insurance requires a copy of my current driving record to assess my insurability. I also understand that I have the right to see a copy of my Motor Vehicle Record (MVR) upon request.

By this letter, I hereby authorize my employer’s insurance company and/or its agent to obtain the necessary MVR and to send a copy of my MVR to my employer.

This authorization will be valid until such time I leave my employer.
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