MVR & Criminal Records Orders – ONLINE FORM Step 1 of 7 14% This online form is not secure and only allows up to 5 driver/applicant names to be submitted at a time. For more than 5, this will require a separate form submission, or you can send us a spreadsheet through our secure file exchange service - www.mmta.com/license.Company Name(Required) Your Name(Required) Your Email(Required) Your Phone(Required)What do you want to order?Select all that apply Maine MVR Maine Criminal Records Other States MVR US Criminal Scan How many driver/applicant checks would you like to order?(Required)Please enter a number from 1 to 5. DRIVER/APPLICANT #1Driver/Applicant:(Required)For Driver/Applicant #1 First Middle Last Maine Driver's License Number(Required)Must be 7-digits, No Letters. Driver's License Number(Required) Date of Birth(Required)For Driver/Applicant #1 Month Day Year License State(Required) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State DRIVER/APPLICANT #2Driver/Applicant:(Required)For Driver/Applicant #2 First Middle Last Maine Driver's License Number(Required)Must be 7-digits, No Letters. Driver's License Number(Required) Date of Birth(Required)For Driver/Applicant #2 Month Day Year License State(Required) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State DRIVER/APPLICANT #3Driver/Applicant:(Required)For Driver/Applicant #3 First Middle Last Maine Driver's License Number(Required)Must be 7-digits, No Letters. Driver's License Number(Required) Date of Birth(Required)For Driver/Applicant #3 Month Day Year License State(Required) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State DRIVER/APPLICANT #4Driver/Applicant:(Required)For Driver/Applicant #4 First Middle Last Maine Driver's License Number(Required)Must be 7-digits, No Letters. Driver's License Number(Required) Date of Birth(Required)For Driver/Applicant #4 Month Day Year License State(Required) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State DRIVER/APPLICANT #5Driver/Applicant:(Required)For Driver/Applicant #5 First Middle Last Maine Driver's License Number(Required)Must be 7-digits, No Letters. Driver's License Number(Required) Date of Birth(Required)For Driver/Applicant #5 Month Day Year License State(Required) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Certification(Required) I agree that the following is true:I am requesting that the Maine Motor Transport Association obtain the motor vehicle records (MVR’S) or Criminal Record Checks listed below and/or attached. The requested information will be utilized for employment purposes in compliance with the Consumer Credit Reporting Reform Act of 1996 (FCRA). I further certify that the requester (you and/or your company) has obtained driver/applicant permission in accordance with the FCRA and has otherwise complied with State and Federal Regulations regarding the request. NOTE: A sample FCRA disclosure statement and authorization form is available on the MMTA website (link below) and comes standard with each JJ KELLER DQ folder sold by MMTA. _____________________________________________________________________________________________ CLICK HERE FOR Sample FCRA disclosure statement and authorization form
