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Step 1 of 11
All applicants wishing to drive in interstate commerce must provide the following information on all employers during the preceding three years. You must give the same information for all employers whom you have driven a commercial vehicle seven years prior to the initial three years (total of ten year employment record).
You are required by The Department of Transportation to list the complete mailing address; street numbers and name, dty, state, and zip code.
Please read each statement carefully before signing
I have read and understood the pre-employment policies of Elite Service Recovery and Towing.
I certify that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge.
I authorize Elite Service Recovery and Towing to make such investigations and inquiries of my personal, employment, financial, or medical history, and other related matters as may be necessary for arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employer, school, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interviews may result in discharge. I understand, also, that I am required to abide by all the rules and regulations of Elite Service Recovery and Towing.
I understand that information I provide regarding current and/or previous employers may be used, and those employers will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(b) and (e). I understand that I have the right to: