I understand that, under the Driver Privacy Protection Act (18 U.S.C. Sec. 2721 et seq), I may request my own individual driver history record, as long as the company requesting it for me (backgroundchecks.com) has obtained my written consent to do so. This record contains my individual driver record information, but is not a certified copy. This record does NOT include any complete personally identifying information such as photograph, address, social security number, telephone number, or driver’s license number.

To verify my consent, I understand that backgroundchecks.com uses a three-part process. First, I must certify that I am requesting my own record. Second, I must consent to backgroundchecks.com obtaining that record. Third, I must prove who I am by successfully passing an online identity verification tool; as a part of that process, backgroundchecks.com records all IP addresses for each transaction. A refund will not be issued for a failed Online Identity Verification. Failed attempts for Online Identity Verification will require Manual Identity Verification. I understand that, if I do not complete all three parts, backgroundchecks.com will not order my record.

I intend my actions below to be legally valid electronic signatures under the Uniform Electronic Transactions Act or the Electronic Signatures in Global and National Commerce Act (found at 15 U.S.C. ch. 96(. By choosing the "accept" option below, I, , certify that I am requesting my own, individual driver history record.

By clicking the "consent option below, I, , request a copy of my driver history record and give my consent for backgroundchecks.com to order that record.