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Georgia MVR'S User Cert

Washington State MVR'S User Cert

 

 

 

Georgia Department Of Motor Vehicle Safety Bulk Requestor Certification

__________________________________________ certifies that its bulk user clients on whose behalf it is requesting MVR’s represents the named company that they have received and maintained in their records properly executed and authorizations.

A bulk requestor must only supply the MVR to the user who has obtained the authorization but may keep a copy of its records only for the purposes of complying with the Fair Credit Reporting Act. 

Any violation of the rules of applying for certification required by the Department of Motor Vehicle Safety or provisions of the Fair Credit Reporting Act, or any other applicable state or federal law will be sufficient grounds for the Department to refuse to issue any additional information on any other driver that the company may request. This administrative action by the Department will not be deemed to supersede any other sanctions prescribed by law, including, but not limited to, 1975 Ga. Laws, pp. 1021, 1022 (section 215 © of Georgia Code Title 68B), providing for twelve (12) months in prison or a fine of $1,000.00 or both for violating rules and regulations concerning motor vehicle reports.

The Department of Motor Vehicle Safety has the right to check all records, files, reports, or any other materials deemed necessary to verify that the company filing this certificate has not violated any provisions of the Department of Motor Vehicle Safety, or provision of the Fair Credit Reporting Act, or any other applicable state or federal law, for the purpose of verifying information contained in this certificate.

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

Dated at ______________this___________day of _________________, 20_____

Applicant___________________________________

Address_____________________________________

Telephone Number____________________________

Signature Person Authorized to Sign Contract_____________________________

Title___________________________________________

Authority: GA. L. 1975, pp. 1008, 1021 (Ga. Code Ann. Section 68-B-215

DMVS Rule 570-3.15.

Print and Fax to 229-420-0805

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