The University of Alabama
Motor Vehicle Record (MVR) Release Form
As explained in the University's Driver Safety & Vehicle Management Program, drivers seeking approval to operate a University vehicle must sign a release to authorize the University to review his or her MVR. This requirement applies to all employees, students, volunteers, spouses, family members or other persons that seek to operate a University owned or leased vehicle. The MVR review is not necessary in situations where the use of a University vehicle is infrequent (3-4 time per year) and the use is confined to campus and the surrounding area. The MVR authorization allows the University to periodically check the driver's MVR, which in most cases will be annually. The decision to accept or reject a driver is based on the driver holding a valid license suitable for the type of vehicle to be operated and the driver's history of convictions for moving traffic offenses and at-fault accidents. If the number and/or seriousness of moving traffic offenses and at-fault accidents are considered excessive based on guidelines imposed by the University's automobile insurer, the driver may not be granted approval to operate a University vehicle.
Is driver high risk?
Driver's Full Name*
* As it appears on Driver's License
Driver's Date of Birth:
Type a date/Select a date
Driver's Email Address:
Driver's License Number (Not Tag Number):
State of Issuance:
* If licensed in the current state for less than 3 years, provide prior license number and state of issuance.
Please provide the approximate date and a brief description of any accidents where you were the driver of an involved vehicle and
another driver was determined to be at-fault
(e.g. rear-ended by other driver, other driver failed to yield, etc.) by the investigating law enforcement officer or the other party's insurance carrier accepted responsibility for the damage and/or injuries:
Type a description
By checking this box, I indicate my understanding of the information shown on this form, and it is my intent to sign the record. I certify that I am the individual stated and my answers are complete and correct.
Campus - P.O. Box:
Manager/Supervisor/Contact Email Address:
All new drivers view the driver safety video program on the Risk Management website as soon as possible after being authorized to operate a University vehicle.
Any driver that may operate a van with a capacity of 9 or more (including driver) must take an online safety training course. Contact Dora Hobson (348-4535) to obtain the online access information.
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