MVR Authorization
(Step 4 of 9)

Home » Employment » Woods Packet » MVR – Authorization

"*" indicates required fields

Authorization to Obtain Motor Vehicle Report (MVR)
on Job Applicant/Employee

Please have job applicant/employee complete and sign. Then fax or email a copy to Stoutamire-Pavlik & Associates in order for us to obtain the MVR. Please retain the original of this form in the applicant/employee's file.

Date*

Information for Job Applicant/Employee:

Name*

Date of Birth*

Street Address*

City*

State*

Zip Code*

Driver's License Number*

Log Truck Experience*

(if employee will be hauling logs)

Name and Address of Employer:

Geiger Logging, Inc.
P.O. Box 1050
Hilliard, FL 32046

Consumer reports may be obtained as part of the Geiger Logging, Inc. 's evaluation of my job application/employment. The reports may be procured by Stoutamire-Pavlik & Associates, and may include my driving record, an assessment of my insurability under the Company's insurance coverage or other consumer reports. By signing this disclosure, I hereby authorize the Company to procure such reports and additional reports about me from time to time, as it deems appropriate, to evaluate my insurability or for other permissible purposes.

Signature of Applicant/Employee*

Typed/Printed Name of Applicant/Employee*

CAPTCHA

MVR Authorization
(Step 4 of 9)

Menu

Follow Us

MVR Authorization(Step 4 of 9)

Menu

Follow Us

MVR Authorization
(Step 4 of 9)