Letter #2 – Sample
Letter Authorizing Consumer Reports and/or Driving Records to be Obtained –
Signed by Employee
(Name Employee)
(Street Address)
(City, State, Zip Code)
(Date)
(Company Name of Employer)
(Street Address)
(City, State, Zip Code)
Dear (Company Name of Employer):
Consumer reports (including driving records) may be obtained as part of the (Company Name of
Employer)’s evaluation of my employment with respects to insurability. The reports
may be procured by (Insurance Agency Name), and may include my driving record, an assessment of my
insurability under the Company’s insurance coverages or other consumer
reports. By signing this disclosure, I hereby authorize the Company to procure
such reports and additional reports about me from time to time, as it deems
appropriate, to evaluate my insurability or for other permissible purposes.
Sincerely,
(Signature of Employee)
(Typed Name Employee)