Form 735-7071A template
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Employer Request for National Driver Register (NDR) File Check on Current or Prospective Employee
This document is a request form for a National Driver Register (NDR) file check for current or prospective employers. Employers must provide their business telephone number, mailing address, and the full legal name, driver license number, and date of birth of the driver or prospective driver. The driver or prospective driver must sign the form authorizing a one-time search of the NDR and understand that any convictions, suspensions, or revocations not disclosed could result in employment denial or job loss. The NDR search results in a printed report sent only to the listed employer and may require verification through separate state checks.
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