Pennsylvania Release Form - Maf Background Screening
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2Please be advised that when requesting Pennsylvania DMV records for employment purposes, the
End-user is required to have a Pennsylvania State release form signed by the prospective
applicant/employee. This state release form must be fax to Softech at 1-305-647-6504.
STATE SPECIFIC INFORMATION: PennDOT Form DL 503 (8-08)
1. Section A: Requestor Information (SOFTECH) – Pre Filled - DO NOT SIGN
2. Section B: End User Information (your company info)
3. Section C: Driver Information
Last Name, First Name
Complete Address Information
Driver’s License Number
Date of Birth
4. Section D Intended Use – Pre Filled – DO NOT SIGN OR NOTARIZE
5. Section E: Driver Release
Driver Full Name
Name of Person/Company
Driver Signature and Date – Please have applicant/employee sign and date.
6. Section F: Microfilm – LEAVE BLANK
IMPORTANT:
The PennDOT Form DL 503 (8-08):
1. Must be completed and faxed to Softech at 1-305-647-6504 in order for the request to be filled.
2. DO NOT SEND A FAX COVER SHEET
3. Must be completed as directed and kept on file by the end-user/employer.
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