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AUTHORIZATION FOR COMPANY TO OBTAIN A DRIVERS LICENSE REPORT - In compliane with the Fair Credit Reporting Act, we hereby notify you that for employment purposes we may request a consumer report in connection with your application for employment or in connection with your employment. It is our normal practice to limit consumer report to driving records available from the appropriate state departments of motor vehicles. I voluntarily authorize Universal underwriters to obtain a consumer report for the purpose of business insurance underwriting. I acknowledge that Universal is not my employer and will not make any employment decisions relating to me. I understand/agree that I can revoke this authorization only in writing and the revocation will be effective only upon receipt. Signature & Date
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A conviction will not necessarily disqualify you for employment. Related factors such as age and date of conviction, seriousness and nature of crime and rehabilitation will be considered. Equal Employment Opportunity. Tom Ahl and its affiliates (collectively, Tom Ahl) is an equal opportunity employer. Tom Ahl does not discriminate against applicants of employees on the basis of race, color, sex, religion, marital status, national origin, age, veteran status, disability or other protected classification. This policy of nondiscrimination extends to all terms, conditions and privileges of employment and to all personnel actions.
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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Signature:
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