APPLICANTS MUST READ AND SIGN BELOW
I hereby authorize TRP Infrastructure INC - hereafter known as "TRP", to investigate my past employment, education, criminal background history, credit history, driving record, medical history, worker's compensation history, military service, and other matters as may be necessary in arriving at decision relating to my employment. Further, I release my previous employers, personal referees and all other responders to TRP's inquiries from liabilities of damages on account having furnished information about me in good faith and in accordance with applicable laws.
I understand that current and/or previous employers will be contacted for the purpose of investigating my records. In particular, I authorize TRP to seek information concerning my criminal background history, my driving history, my safety performance history, and my participation in, and results of, employer drug and alcohol testing (including refusals) in accordance with Federal Motor Carrier Safety Regulations (FMCSR). Accordingly, I acknowledge my consent, with special regard to government law enforcement agencies, related third party report services, and other persons or organizations holding such information about me, to share these records with TRP, releasing them from any liability for their contributions. I acknowledge my right:
1) to review information provided by previous employers;
2) to have errors in the information corrected by previous employers and for those previous employers to resend the corrected information to the prospective employer; and
3) to have a rebuttal statement attached to the alleged erroneous information if the previous employer(s) and I cannot agree on the accuracy of the information.
Should I become an TRP employee, I acknowledge the requirement of periodic inquiries into my FMCSR related records during and after my period of employment.
Accordingly, I extend my consent and release of liability for damages regarding persons or organizations involved in sharing my FMCSR records during and beyond my period of employment. A telephone fax, a scanned or a photographic copy of this authorization shall be as valid as the original.
I acknowledge that TRP seeks to hire, without discrimination, only lawful workers. I hereby confirm my eligibility for legal employment within the U.S., and I understand that my identification and my eligibility for legal employment within the U.S. will be verified by the U.S. Department of Homeland Security and the Social Security Administration.
I understand that I am entitled to a statement of my rights under the Fair Credit Reporting Act. I understand that information regarding sex, race and date of birth is requested in compliance with federal and state laws and will not be used to discriminate against me.
I certify the accuracy and completeness of all information I provide in this application and during my subsequent interview(s). I understand that providing false or misleading information may result in rejection of my application or a termination of my employment and associated benefits in the event that I am employed with TRP. Finally, I understand that I am required to abide by all of TRP's rules and regulations.