CONSENT AND AUTHORIZATION TO RELEASE OF INFORMATION
I have completed this application to the best of my ability and certify that the information is true and correct.
By utilizing AllTruckJobs.com (DBA Track5Media, LLC) and submitting this Consent and Authorization, I authorize Track5Media, as owner of AllTruckJobs.com, to facilitate the release of any and all information and records to any potential employer from prior employers and third parties pertaining to my work history, evaluations, disciplinary action and benefit information, including, but not limited to, my driving record, safety performance record, alcohol and drug testing information, and criminal background records that may be on file with any former employer or with the applicable federal and state Departments of Transportation. As used with this authorization/release, "employer" shall denote employer or one for whom services were provided under an independent contractor relationship.
I understand that if I do not consent to the release of the aforementioned, that it may disqualify me from a trucking position with a desired employer.
I hereby release Track5Media or any party utilizing the foregoing information in considering my employment or agency, or any custodian of such records, including any action taken by the party using or retaining custody of such records, from any and all liability for providing my application. By electronically signing this Consent and Authorization, I affirm that I am aware of my rights and obligations under applicable law pertaining to the release of employment information.