Statement of Personal History--Pre-Implementation Screening Process (REG 4019)

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This form is required to determine the eligibility of the employees who will participate in the in the Business Partner Automation Program. The form must be completed by business owners, managers, and administrative staff responsible for the oversight, of the program or who manage, administer, supervise, or monitor transactions, inventory, employees, or money; order or account for inventory, and employees who process vehicle registration transactions or work directly with customers.

• Statement of Personal History--Pre-Implementation Screening Process REG 4019 (PDF)