I voluntarily consent to and authorize Top Notch Protective Services & Bonacorso Insurance Agency, Inc., herein referred to as Company, and or their assigned agents, associates, brokers, reporting agencies to request and receive Motor Vehicle/Driving Records/History of Driving.



I authorize any persons, organizations, companies, corporations, and Massachusetts Registry of Motor Vehicles. I further agree to release Company
and or their assigned agents, associates, brokers, reporting agencies and all persons and organizations providing information from any and all claims, liability and responsibility arising out of the release of such information in connection with
this research.



I understand that I have specific prescribed rights as a consumer under the Federal Fair Credit Reporting Act (FCRA) and may have additional rights under relevant specific state laws. This authorization does not include a release of my
medical information. I further acknowledge and certify that I have received a summary of my rights under the Fair Credit Reporting Act (FCRA).