I understand that, under the Driver Privacy
Protection Act and related law in some states, I may request my own individual driver history
record through 4Safedrivers.com, but only if 4Safedrivers.com has received my consent
(written or electronic) to obtain it. My driver history record contains my
individual driver history information, but is not a certified copy. This record does
NOT include any complete, personally identifying information, such as photograph,
address, social security number, or telephone number. I understand that 4Safedrivers.com
may use an online identity verification system that requires me to prove
who I am. This may include a multiple-choice quiz on information about me. As a part of
that process, 4Safedrivers.com records my internet protocol address for
my computer. I understand that 4Safedrivers.com will not refund the fee I am paying if I
refuse to verify my identity if required. I understand that I may be required
to follow 4Safedrivers.com's instructions on how to prove who I am by providing
copies of records. I understand that if asked to verify my identity and I am unable
to do so (either through the electronic tool or through copies of records),
4Safedrivers.com reserves the right NOT release the information in the report to me. I
also understand that, under the Uniform Electronic Transaction Act or the Electronic
Signatures in Global and National Commerce Act, I may sign this form
By selecting the "I agree & consent" option below, I, , agree that:
- I read, understood, and agree with the information above.
- I am ordering a report about myself.
- I am instructing 4Safedrivers.com to prepare that report in accordance with the service selections I have made (including a driving history record, if I am ordering one).
- I intend my actions on this form to be my electronic signature.
By selecting the "I agree & consent" option below, I, , consent to:
- 4Safedrivers.com obtaining information about me to prepare a report for me about me; and
- if I am ordering my driving history record, I consent to 4Safedrivers.com obtaining it for me.
Important: By clicking the "Purchase" button: You agree to our Terms and Conditions
including that this is not a certified record. You confirm that you are ordering
a report about yourself, NOT about someone else. You agree that we will charge your
credit card and process your order.