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Step 1 of 9
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed falsified statements on this application are grounds for dismissal.
I hereby authorize any investigations (including contacting current and prior employers) into my personal, employment, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.
I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by The Federal Motor Carriers Safety Regulations.