Permission to Verify Documents

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Name of Volunteer Applicant ____________________________________________

Address _____________________________________________________________

City _______________________________ State _______ Zip Code _____________

Telephone Number(s): (____) _______________________________________________

I give [Name of Nonprofit] permission to verify the credentials that I have presented, such as driver's license, DMV record and/or medical licenses.

Signed ___________________________________________________ Date __________

Nonprofit Risk Management Center

15 N. King Street, Suite 203, Leesburg, VA 20176
Phone: (202) 785-3891 - Fax: (703) 443-1990

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This document is from the Nonprofit Risk Management Centerís
Accident Preparation and Response Tutorial (, which was
made possible by financial support from the Public Entity Risk Institute.