Mvr Certificate Form PDF Details

Navigating the complexities of the Motor Vehicle Report (MVR) Certificate form issued by the Georgia Department of Driver Services can reveal a lot about its purpose and application in various sectors. This form plays a pivotal role in ensuring that businesses or individuals requesting driving records do so for legitimate reasons, such as for insurance claims, anti-fraud activities, underwriting, car rental agreements, employment background checks, and more, clearly outlining the legal and ethical use of such sensitive information. A strict adherence to the use of data obtained is mandated, underscoring the confidentiality and privacy of the drivers whose records are accessed. The form stipulates conditions under which adverse decisions, based on the driving records supplied, must be communicated to the affected parties, incorporating a level of transparency and accountability. It further bars the unauthorized distribution or sale of the information to third parties, reinforcing the exclusivity of the data for intended purposes. Penalties for misuse or the breach of any terms outlined in the certificate are significant, indicating the seriousness with which the Georgia Department of Driver Services treats the misuse of driving records. Central to this process is the requirement for users to prove compliance with all conditions laid out in the MVR Certificate, a task that involves substantial responsibility and integrity from the users. This form serves as a gateway for the approved use of driving records, ensuring that access is both justified and legally bound to the terms of use specified by the Georgia Department of Driver Services.

QuestionAnswer
Form NameMvr Certificate Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmvr report in ga, certified mvr, ga dept of driver services bulk mvr user certificate, mvr form ga

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GEORGIA DEPARTMENT OF DRIVER SERVICES

 

 

BULK MVR USER CERTIFICATE

 

 

 

 

 

 

 

User

 

 

 

 

 

 

Name:

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

State:

Zip Code:

 

 

 

 

 

 

Telephone #:

 

Fax #:

 

 

Email:

 

 

 

 

 

Bulk Requestor

Yes No

If yes, Name:

 

Used?

 

 

 

 

 

 

 

 

 

 

 

 

The company or individual named above certifies that for each driving record requested, the information contained therein shall be used solely for one of the following approved purposes: insurance claims investigation, insurance antifraud activities, insurance rating, insurance underwriting, car rental agreements, address verification by a creditor, or as part of a background investigation on an employee or applicant for employment.

In the event that an adverse decision is based upon any information supplied to the User by the Department of Driver Services (DDS), then upon request of the driver named in the driving record, the User or the producing insurance agent, if applicable, shall inform the driver named in the record of all information pertinent to the decision. This provision is to be construed as requiring the User to include specific information included in the driver’s record.

All information is requested only for the User’s exclusive use. The User shall not share, sell or otherwise disseminate any information included in the motor vehicle report to any other person or company, except as provided in O.C.G.A. §40-5-2, 18 U.S.C.§2721, et seq ., Ga. Admin. Comp. Ch. 375-3-8-.03, any other applicable provision of law, or as provided herein.

Any violation of the rules, laws or agreements applicable to the access provided herein to the User shall be considered sufficient grounds for the DDS to refuse to release any additional information on any other driver that the User may request. This administrative action by the DDS shall not be deemed to supersede any other sanctions prescribed by law, including, but not limited to, any applicable civil or criminal penalties.

The DDS has the right to inspect and copy all records, files, reports, or any other materials deemed necessary to verify that the User has abided by all terms of the certificate unless such access is prohibited by law.

The burden of showing compliance with the provisions of this certificate is at all times on the User. Upon reasonable notice by the DDS, the User must be able to demonstrate such compliance.

Users obtaining driving records for any of the aforementioned insurance purposes must have an application for insurance or renewal thereof in order to obtain driving records. Users obtaining driving records for employment or pre-employment background investigations must obtain the written consent of each licensee whose driving record is requested.

Access granted to this User via the Requestor named above, if any, shall cease immediately if the DDS terminates the Requestor’s access to driving records for any reason.

Termination, non-renewal, or expiration of the agreement between the Requestor named above and the Georgia Technology Authority terminates the User’s access to driving records for any reason.

The person signing below has authority to do so on behalf of the applicant named above.

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Date

Signature

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Title/Position

Printed Name