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Background Check, Driver License

& MVR Authorization 

Date of Birth:
Month
Day
Year

In connection with my application or continued employment with Reward Home Care, I hereby authorize the Company and its designated background screening vendor(s) to obtain a consumer report and/or investigative consumer report (background check) about me.

I understand this report may include the following:

  • Criminal background check (including FBI, DOJ, and state/county records)

  • Motor Vehicle Record (MVR) / driving history

  • Employment history verification

  • Education verification

  • Pennsylvania Child Abuse History Clearance (Act 153)

  • Sex Offender Registry check

  • Social Security Number trace

  • Credit history (where permitted by law and relevant to the position)

I understand and acknowledge the following: 

  1. This authorization complies with the Fair Credit Reporting Act (FCRA), 15 U.S.C. § 1681 et seq., and applicable state law. 

  2. I have the right to request a copy of any consumer report obtained about me. 

  3. If any adverse action is taken based in whole or in part on information contained in the consumer report, I will be provided a copy of the report and a description of my rights under the FCRA before the adverse action is finalized. 

  4. A photocopy of this signed authorization shall be as valid as the original. 

  5. This authorization shall remain in effect for the duration of my employment and I authorize periodic re-screening as permitted by law. 

Driver License & MVR Authorization

Reward Home Care requires all employees who operate Company vehicles to hold a valid driver's license and maintain an acceptable Motor Vehicle Record (MVR). An MVR check will be conducted prior to employment and may be repeated periodically during employment.

MVR STANDARDS — DISQUALIFYING EVENTS
EMPLOYEE AUTHORIZATION

By signing below, I authorize Reward Home Care, and any designated background/MVR screening vendor, to obtain a copy of my Motor Vehicle Record for the purposes of evaluating my eligibility for employment and continued assignment to vehicle operations. I certify that the driver's license information provided above is accurate and complete. I agree to immediately notify the Company of any changes to my license status, suspensions, revocations, or new traffic violations. 


The following events on an employee's driving record may disqualify an individual from employment or vehicle operation privileges:

  • DUI, DWI, or any alcohol/drug-related driving conviction within the past 5 years

  • Reckless driving conviction within the past 3 years

  • More than 2 at-fault accidents within the past 3 years

  • More than 3 moving violations within the past 3 years

  • License suspension or revocation within the past 3 years

  • Leaving the scene of an accident (hit and run)

  • Driving with a suspended or revoked license

  • Any felony conviction involving a motor vehicle


I also agree to notify the Company within 24 hours of any of the following:

  1. Receiving a traffic citation or violation while operating a Company vehicle

  2. Being involved in any motor vehicle accident — on or off duty

  3. Any change to my license status (suspension, restriction, expiration)

I hereby release Reward Home Care, its agents, and all persons and entities providing information pursuant to this authorization from any liability arising from the use of such information. 

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