I certify that I personally completed this application and that all of the information is true and correct. I hereby request and authorize any company that receives this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test. Any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold Trout Trucking Co., Inc. harmless of all liability for providing this application for their use.
In connection with my application for employment (including contract for services) with you, I understand that consumer reports which may contain public record information may be requested from various agencies. These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, accidents, etc. I further understand that such reports may contain public record information concerning my driving record, workers’ compensation claims, credit history, bankruptcy proceedings, criminal records, etc., from federal, state and other agencies which maintain such records. Trout Trucking Co., Inc. will also obtain information from previous employers concerning all driving record requests made by others from entities such as state agencies, and state provided driving records.
I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY TROUT TRUCKING, TO FURNISH THE ABOVE-MENTIONED INFORMATION.
I hereby authorize procurement of consumer report(s), if hired (or contracted). This authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.