|
|
|
|
|
|
MOTOR VEHICLE REPORT (MVR) REQUEST AND RELEASE
|
|
|
|
|
This form must be completed in its entirety. There is a minimum of 7 days processing time.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
List any other states in which the employee held a driver’s license in the past three years.
Per University Policy 1411, drivers are required to have held an official drivers license for a minimum of 2 years.
MVR checks will be assessed to incorporate a 2 to 3 years history, unless additional history is needed.
------------------------------------------------------
|
|
|
|
|
|
|
|
|
|
|
|
|
DRIVER’S MOTOR VEHICLE REPORT (MVR) RELEASE
I understand that as a condition of my operating a Mason vehicle my Motor Vehicle Report (MVR) will be reviewed. I hereby authorize George Mason University to obtain my MVR as often as deemed necessary under the Vehicle Use Policy. I further understand this information will be used to ensure the safety of employees, students and the general public both on and off campus. I understand it is my responsibility to notify Operational Risk Management if I leave the employment of George Mason University.
|
|
|
|
|
|
|
|
|
|
|
|
|
George Mason University respects the confidential nature of the information contained on this form, and all motor vehicle reports obtained from DMV, and will strive to secure this information with reasonable and industry accepted protection controls, whether maintained electronically or in paper form.
|
|
|
|
|
|
|
|
|
|
For Internal use only by Operational Risk Management
Status: (A) Accceptable; (C) Conditional; (R) Restricted; (P) Prohibited
|
|
Date entered into Alert System
|
____________
|
|
|
|
Risk, Safety, & Resilience | Operational Risk Management
4400 University Drive, MS 6D6 | Fairfax, Virginia 22030 | Phone: 703.993.2599 | risk@gmu.edu | risk.gmu.edu
|
|