Compliance Information Forms
With the security issues that have surfaced over the past few years, the driving records reports industry has had the added responsibility of policing the intended use for each order placed. The Driver’s Privacy Protection Act of 1994 (DPPA), which was upheld on both the State and Federal levels, has put restrictions on both the personal information we can provide, and the types of clientele to which SambaSafety may provide it. In compliance with the DPPA, SambaSafety maintains a Compliance Department to oversee the full compliance of its clients and the protection of the consumer.
Driver’s Privacy Protection Act (DPPA)
SambaSafety requires each client to have a signed Subscription Agreement, along with signed Affidavits of Intended Use by the states that require them. It is our wish and desire to make this process as brief and easy as possible. If you are a current client of SambaSafety and you wish to have a current copy of your agreement, please contact your sales representative. If you are not a current customer, but are interested in SambaSafety products and services, please email our sales department at firstname.lastname@example.org, call 866-837-3295. If you have any questions or concerns about the Compliance procedures, or about the forms in general, please email the Compliance Department at email@example.com.
Listed here are the requisite forms by specific jurisdiction, as required for accessing MVRs. Please note that all forms are in PDF format which requires Adobe Acrobat Reader to view or print. If you don’t have a copy of this free program, go to Adobe’s Acrobat Reader web page to get it.
- California *
- CA DMV Audit FAQ *
- Colorado/New Mexico
- New Hampshire Employment
- New Hampshire Insurance
- Pennsylvania – DL-503 Driver Release
- Pennsylvania – DL-9105 Employment
- Pennsylvania – DL-9106 Insurance
- Washington Abstract of Driving Record Release of Interest Form
- Washington State Driving Record Release of Interest Form FAQ
- Form to order Washington MVRs for insurance purposes only
- Form to order Washington MVRs for employment purposes only
- Puerto Rico
- Virgin Islands
Canadian Province Compliance Information
- British Columbia
- New Brunswick
- Newfoundland & Labrador
- Northwest Territories
- Nova Scotia
- Prince Edward Island
How to Get Started
Click here to use our online registration inquiry form or call our Sales Support number 888.947.2622 option 4 or email: firstname.lastname@example.org.