Driver Record Screening DisclosureI hereby authorize Curzon Trucking LLC, its designated agents and representatives, and its designated consumer reporting agency to conduct a comprehensive review of my driver record background through a consumer report and/or an investigative consumer report to be generated for employment, promotion, reassignment or retention as an employee. I understand that the scope of the consumer report/investigative consumer report may include information about my names, motor vehicle records, license verification. Upon request, Curzon Trucking LLC will supply a copy of the completed consumer report along with a copy of an individual's rights under the Fair Credit Reporting Act.
Authorization and ReleaseI ————, authorize the complete release of these records or data pertaining to me which an individual, company, firm, corporation, or public agency may have. I authorize the full release of the information described above, without any reservation, throughout any duration of my employment at Curzon Trucking LLC. I certify that all information provided below is correct to the best of my knowledge. This authorization and consent shall be valid in original, fax, or copy form. The following information is required by law enforcement agencies and other entities for identification purposes when checking records. It is confidential and will not be used for any other purpose.
Typing your name above acts as your electronic signature. We record the date, time, and your IP address with this authorization.