Release Form Instructions - Staftrack



A Release Form signed by the driver is required to process driving records in the following states or provinces :

***Alaska: Special state release form is required. Release must state that the driver gives permission to release their driving record to (leave blank). The Release Form must give the drivers full name, date of birth, social security number and their drivers license number.

Arkansas: (Do not send Arkansas release to StafTrack Inc.) Your company must keep a signed release in your files as long as the driver is insured or employed by your company.

***Colorado: (Do not send Colorado release to StafTrack Inc.) Special state release form is required. Have the individual complete and sign the top box. Leave the bottom box blank. Your company must keep a signed release in your files as long as the driver is insured or employed by your company.

District of Columbia: No special instructions – any signed release.

Georgia: (Do not send Georgia release to StafTrack, Inc.) You must keep a signed notarized release in your files.

Illinois: (Do not send release to StafTrack, Inc.) No special instructions – any signed release.

***New Hampshire: Special state form is required. It must be notarized and the original must be mailed to StafTrack, Inc, so that we can send it to the state. (See page 2)

***Pennsylvania: Special state release form is required. All information about the company requesting the motor vehicle report must be completed, including the company’s name, address and telephone number. It must also include the driver’s full name, date of birth and drivers license number along with their signature.

Virginia: (Do not send Virginia release to StafTrack Inc.) Your company must keep a signed release in your files as long as the driver is insured or employed by your company.

***Washington: Special state release form is required. All information about the employer must be complete, including the employer’s name and address along with the employer’s signature. Leave the line for the agent of the employer blank. It must also include the driver’s full name, drivers license number, and date of birth, along with their signature.

Generic : Generic release for driving records, can be used to meet FCRA or DPPA requirements.

***British Columbia: Special province release form is required. Place Staftrack Account Number in upper right corner. Leave the top box blank. Fill in second box. Applicant fills out and signs the Driver Information section in blue ink. Mail the original to Staftrack, Inc.

***Quebec: Special province release form is required. Place Staftrack Account Number in upper right corner. Leave the top box blank. Applicant fills out and signs the License holder’s authorization. Fax or mail to Staftrack, Inc.

The original completed New Hampshire form must be mailed to Staftrack, Inc.

(no faxes)

I. Select B if license is operator or motorcycle. Select C if license is a commercial. You must look on Drivers License under type. A,B,or C is a

commercial license, D is operator M is motorcycle.

II. Do not fill in

Check appropriate box

III. Mark 5th box only if you have checked item C in section I

Fill in

IV. Do not sign.

V. Must be notarized if the driver is not a commercial driver’s license holder or if you have checked item B in section 1.

*** Special state or province release form is required.

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