Form DL 55 at a glance
What it is: The National Driver Register File Check Employer Request is the form employers use to request a National Driver Register (NDR) file check on a current or prospective employee.
Who signs: The employer certifies the individual named on the form is an employee or has applied to become an employee of this company in a position which involves the operation of a motor vehicle, locomotive or airplane. The signature is required if the form is submitted by employer. Enter the DATE (mm/dd/yyyy) and the EMPLOYEE SIGNATURE.
A filled-in Form DL 55 example: a railroad requests an engineer check
How to fill out Form DL 55, box by box
Employer information
Check one, if applicable: Air carrier or Railroad company. Under Employer information, write the Employer or agency name, Telephone number, Email address, Authorized representative name, Street address, City, State and Zip code.
Authorized representative signature
Enter the Authorized representative signature and the Date (mm/dd/yyyy).
Employee information/certification
Under Employee information/certification, write the Full legal name (last) (first) (middle) (suffix) and Other names used (maiden, prior name, nickname, professional name, other). Enter the Daytime telephone number, Street address, City, Zip code and State.
Driver license number, issuing state and social security number
Enter the DRIVER LICENSE NUMBER, the ISSUING STATE and the SOCIAL SECURITY NUMBER (see reverse side). You do not have to disclose your social security number. However, providing the number will help to identify your record.
Birthdate, height, weight, eye color and sex
Enter the BIRTHDATE (mm/dd/yyyy), HEIGHT, WEIGHT (lbs) and EYE COLOR. Under SEX, mark Male, Female or Non-Binary.
Employee certification and signature
You certify that you are an employee, or have applied to become an employee of the named company in a position which involves the operation of a motor vehicle, locomotive or airplane. You authorize the Department of Motor Vehicles and the National Driver Register to furnish, for this one time only, information pertaining to your driving record to the company identified.
You further certify and affirm that all information presented in this form is true and correct, that any documents you have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. You make this certification and affirmation under penalty of perjury and you understand that knowingly making a false statement or representation on this form is a criminal violation.
Enter the DATE (mm/dd/yyyy) and the EMPLOYEE SIGNATURE.
Notarization
Notarization (must be completed by notary public) is required only if employee does not submit this form to DMV in person. Its lines are State/Commonwealth of, city or county of, subscribed and sworn to before me on this day of (MONTH) (YEAR), by, in the city or county and state aforesaid.
More rules for Form DL 55
The National Driver Register (NDR) is a computerized database of information about drivers who have had their licenses canceled, denied, revoked or suspended, or who have been convicted of serious traffic violations such as driving while impaired by alcohol or drugs.
Your employer or potential employer must obtain your authorization when requesting information on your record from NDR.
The NDR report indicates jurisdictions in which you may have had your license revoked or suspended, or where you may have been convicted of a serious traffic violation.
Information on your NDR report will include your name, date of birth (month, day, year), sex, description, and license number. It will also include all possible record matches, by state, based on your identification data, and a statement indicating that the possible record matches may not be the same person for whom the record was requested. If the NDR has no record for you in their files, the report will indicate this.
Suspension, revocation, or conviction data is not given on the NDR report. Your employer will need to contact the state in which each record originated to obtain this information and to verify each possible match. The information the state provides may affect your employment status.
You have the right to review the record(s) that pertain to you and provided to your employer or potential employer.
Common questions about Form DL 55
Where do I file it?
Complete the form and give it to the current or prospective employee undergoing the check. The employee submits the completed form to any DMV customer service center or mails it to DMV at the address on the form. If the employee submits the form to DMV in person, two proofs of identification are required. If the employee does not submit the form to DMV in person, it must be notarized prior to submission.
Is there a penalty?
For any other use or dissemination of the information furnished from this request, penalties may include up to one year in jail and a $10,000 fine, according to Public Law 97-364 Section 208 and 104-264. (checked October 22, 2026)
Sources
[1] Form DL 55 (07/01/2020), National Driver Register File Check Employer Request, Virginia Department of Motor Vehicles (the Official source link on this page).