Get GA Bulk MVR User Certificate

GEORGIA DEPARTMENT OF DRIVER SERVICES BULK MVR USER CERTIFICATE User Name Address City Telephone Bulk Requestor Used State Fax Yes No Zip Code Email If yes Name 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. 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. 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. .