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General LaborFlaggerTruck DriverOfficeManagementOther


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DiplomaGEDN/A

I hereby give you my permission to contact the above employers, references, and educational institutions to verify the items I listed above. I hereby release Smith Construction, Inc., and the above reference person and employers from all claims, liability and damages that may result from furnishing the information to you. I expressly and fully waive all written notice from all prior employers.

I further specifically waive written notice and agree to the divulging of any disciplinary reports, letters of reprimand or other disciplinary action by all prior employers and hereby release my prior from all claims, liability and damage that may result from furnishing the information to you.

I authorized Smith Construction, Inc., to request a copy of my driving record information for purposes of investigation as required by Sections 391.23 and 391.25 of the Federal Motor Carrier Safety Regulations.

By typing your first and last name in the box below you authorize and release the above information to Smith Construction, Inc.