I AUTHORIZE DON FARR MOVING AND STORAGE TO MAKE SUCH INVESTIGATIONS AND INQUIRIES OF MY PERSONAL, EMPLOYMENT, FINANCIAL, CRIMINAL, LICENSING OR MEDICAL HISTORY AND OTHER RELATED MATTERS AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION. (GENERALLY, INQUIRIES REGARDING MEDICAL HISTORY WILL BE MADE ONLY AFTER AN OFFER OF EMPLOYMENT HAS BEEN EXTENDED.) I HEREBY RELEASE EMPLOYERS, SCHOOLS, HEALTH CARE PROVIDERS, AND ALL OTHER PERSONS FROM LIABILITY IN RESPONDING TO INQUIRIES AND RELEASING INFORMATION IN CONNECTION WITH MY APPLICATION.
IN THE EVENT OF EMPLOYMENT I UNDERSTAND THAT MY SAFETY PERFORMANCE HISTORY WILL BE INVESTIGATED AS REQUIRED BY 49-CFR-391.23(d). I ALSO UNDERSTAND THAT I HAVE THE RIGHT TO:
- Review information provided by employers.
- Have errors in the information corrected by previous employers.
- Have a rebuttal statement attached to the alleged erroneous information.