Authorization to Request Motor Vehicle Report

Request for Motor Vehicle Report (MVR)

I hereby request and authorize the Kansas Department of Motor Vehicles to furnish the below named company with my motor vehicle driving record. I voluntarily waive all right of recourse and release you from liability for compliance with this authorization.

Step 1 of 2

  • SECTION 1 – DRIVER INFORMATION

    (must exactly match driving record)
  • You may provide this in person if you choose to do so. Applications cannot be approved until it is received.
    Accepted file types: pdf, jpg, jpeg, gif, png.