Application

Background Check Authorization

Authorization & Consent

I authorize Chain of Love Transport and its designated agents to obtain and review a consumer report and/or investigative consumer report about me, including but not limited to my driving record, criminal history, and other background information, for the purpose of evaluating my application to become a volunteer driver.

I understand that this authorization remains valid throughout my application and, if approved, my service as a driver. I certify that the information I have provided is true and complete to the best of my knowledge.

Full Legal Name:

Home Address:

Date of Birth:

Phone:

Social Security #:

Signature

Signature:

Date:

Print this form, sign it, then upload a photo or scan of the completed page on your onboarding page.