consent for TLS to obtain a certified abstract of my complete driver's record, (including but not limited to convictions, accidents, license suspensions or
revocations, and any type of driver's license that I possess) in any state where I hold or have applied for a commercial driver's license. I further provide
consent for TLS to use medical information about my physical or mental health for purposes relevant to an employment determination, to the extent
permitted by applicable law.
No employer, prospective employer, or their agent may use information contained in a driving record related to the sealed juvenile record of an employee or
prospective employee for any purpose unless required by federal law. The employee or prospective employee must furnish a copy of the court order sealing
the juvenile record to the employer, prospective employer, or their agent.
Authorization
I hereby certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.