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A Driver Contruction

Location:
Henderson, CO
Posted:
May 23, 2023

Contact this candidate

Resume:

Centerline Drivers, LLC.

**** *. ****** **, ***** 340

Santa Ana, CA 92701

844-***-****

**-**-**** *:28:50PM CDT

IntelliApp

Thank you for your interest in Centerline Drivers, LLC. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted. In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

If due to a disability, I am unable to complete the application process, I agree to notify the Company so that we may discuss options for a reasonable accommodation. Personal Information

Referral Code: websitegnunez1

Name Adrian Leos

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

Current Address 8741 Ulster St.

City, State/Province Zip/Postal Commerce City, CO 80022 Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 7479

Date of Birth

Primary Phone 720-***-****

Cell Phone 720-***-****

Preferred method of contact Cell Phone

Best time to contact you Any

Email adxaqu@r.postjobfree.com

Cell Phone Provider

Yes, I agree to receive information

concerning future opportunities or

promotions from Centerline Drivers, LLC.

by email or other commercial electronic

communications.

Yes

Would you like to receive communication

from Centerline Drivers, LLC. via text

No

1

message?

By participating, you consent to receive

text messages sent by an automatic

telephone dialing system, which may

contain recruiting/advertising messages.

Consent to these terms is not a condition

of being hired, contracted, or leased. You

may opt out at any time by texting STOP to

unsubscribe. You also agree that

Centerline Drivers, LLC.'s service provider

receives in real time and logs your text

messages with Centerline Drivers, LLC..

Company Questions

Ad Number Recruiter

GENERAL INFORMATION

What location are you applying for? CO, Denver

If hired, can you present evidence of your

right to work in the U.S.?

Yes

Are you currently employed? Yes

What date did your last employment end?

Are you able to perform the essential

functions of the job for which you are

applying, either with or without reasonable

accommodation?

Yes

Please describe the functions that cannot

be performed. (Note: We comply with the

ADA and consider reasonable

accommodation measures that may be

necessary for eligible

applicants/employees to perform essential

functions. Hire may be subject to passing a

medical examination, and skill and/or

agility tests.)

Have you ever worked for this company

before?

No

Enter start and end dates, location,

position, and reason for leaving:

Do you have a current TWIC card? No

Expiration date:

Have you ever been known by any other

name?

No

Enter name:

How did you hear about Centerline? Indeed.com

2

If you chose "Referral" or "Other", please

explain:

DRIVING EXPERIENCE

For each class of equipment, enter type of equipment (van, reefer, tank, etc.), start and end dates, and approximate number of total miles. If no experience in a class, enter

"NONE".

Straight Truck Drove box truck for 11 months..

Tractor and Semi-Trailer Never

Tractor - Two Trailers Never

Other No

EDUCATION

List highest grade completed: GED

List last school attended (name, city, and

state):

Yerington high school

EMERGENCY CONTACT

Name: Erica leos

Phone Number: 720-***-****

Google Tracking

Licenses

List all driver licenses that you have held in the past License Number 276

Licensing Authority CO

Country US

License Class

Original Issue Date 03-02-2022

License Expiration Date 03-04-2027

Physical Expiration Date 03-04-2027

Current License Yes

Commercial Driver License No

Endorsements

Tanker Endorsement No

HAZMAT Endorsement No

X Endorsement No

Doubles Triples Endorsement No

3

Other Endorsement No

Employment / Unemployment

Allied deliveries

Company Allied deliveries

Start Date 05-2013

End Date 05-2023

Address 2524 West 100th Avenue

City, State/Province Zip/Postal Federal Heights, CO 80260 Country United States

Phone 970-***-****

Position Held Appliance Insteller

Reason for leaving? Found different job

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job subject to drug and

alcohol testing?

Areas Driven

Miles driven weekly

Most common truck driven

Most common trailer

Trailer length

Rumler civil contruction

Company Rumler civil contruction

Start Date 05-2013

End Date 05-2023

Address 19555 e. Parker.square

4

City, State/Province Zip/Postal Parker, CO 80134

Country United States

Phone 303-***-****

Position Held Apprentice

Reason for leaving? Left state

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job subject to drug and

alcohol testing?

Areas Driven

Miles driven weekly

Most common truck driven

Most common trailer

Trailer length

FMCSR

Under FMCSR 391.15, are you currently

disqualified from driving a commercial

motor vehicle? [49 CFR 391.15]

No

Has your license, permit or privilege to

drive ever been suspended or revoked for

any reason? [49 CFR 391.21(b)(9)]

No

Have you ever been denied a license,

permit, or privilege to operate a motor

vehicle?[49 CFR 391.21(b)(9)]

No

Within the past two years, have you tested

positive, or refused to test, on a

pre-employment drug or alcohol test by an

employer to whom you applied, but did not

obtain, safety-sensitive transportation work

covered by DOT agency drug and alcohol

testing rules? [49 CFR 40.25(j)]

No

5

In the past three(3) years, have you ever

been convicted of any of the following

offenses: [49 CFR 391.15]:

Driving a commercial motor vehicle

with a blood alcohol concentration

("BAC") of .04 percent or more

·

Driving under the influence of

alcohol, as prescribed by state law

·

Refusal to undergo drug and

alcohol testing as required by any

jurisdiction for the enforcement of

Federal Motor Carrier Safety Act

regulations

·

Driving a commercial motor vehicle

under the influence of any 21

C.F.R. 1308.11 Schedule I

identified controlled substance, an

amphetamine, a narcotic drug, a

formulation of an amphetamine, or

a derivative of a narcotic drug

·

Transportation, possession, or

unlawful use of a 21 C.F.R.

1308.11 Schedule I identified

controlled substance,

amphetamines, narcotic drugs,

formulations of an amphetamine, or

derivatives of narcotic drugs while

you were on duty driving for a

motor carrier

·

Leaving the scene of an accident

while operating a commercial motor

vehicle

·

Or any other felony involving the

use of a commercial motor vehicle

·

No

Vehicle Accident Record

Were you involved in any accidents/incidents with any vehicle in the last 3 years (even if not at fault)?

No Accidents

Traffic Convictions \ Violations

Have you had any moving violations or traffic convictions in the past 3 years? No Violations

6

Signature

Full Name Adrian Leos

IP Address 2607:fb91:11ab:4

Signature Date/Time 05-19-2023 6:28 PM

By signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

· Review information provided by previous employers; Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and

·

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.

·

Signed Date: 05-19-2023 6:28 PM

Signed:

Federal FCRA Summary of Rights Acknowledgment

By checking this box, I (a) acknowledge

that I have read and understand the

federal FCRA Summary of Rights and

have been given the opportunity to

copy/print the Summary of Rights and (b)

agree to use an electronic signature to

demonstrate my consent. An electronic

signature is as legally binding as an ink

signature.

Yes

CALIFORNIA DISCLOSURE REGARDING BACKGROUND CHECKS DOCUMENT By checking the box, I 1) agree to use an

electronic signature to demonstrate my

consent, 2) agree that an electronic

signature is as legally binding as an ink

signature, and 3) acknowledge that I have

Yes

7

read and understood this California

Disclosure Regarding Background Checks

document.

Massachusetts Criminal Policy and Record Correction Acknowledgment By checking the box, I (a) acknowledge

that I have read and understand the

Company's Massachusetts Criminal

Record Policy and Information Concerning

the Process in Correcting a Criminal

record and have also been given the

opportunity copy/print both, and (b) agree

to use an electronic signature to

demonstrate my consent. An electronic

signature is as legally binding as an ink

signature.

Yes

New Jersey Summary of Rights Acknowledgment

By checking the box, I (a) acknowledge

that I have read and understand the

Summary of Rights Under New Jersey's

Fair Credit Reporting Act and also have

been given the opportunity to copy/print

the Summary of Rights, and (b) agree to

use an electronic signature to demonstrate

my acknowledgment. An electronic

signature is as legally binding as an ink

signature.

Yes

New York State Article 23-A Notice

By checking the box, I (a) acknowledge

that I have read and understand the New

York State Correction Law Article 23-A and

have been given the opportunity to

copy/print it and (b) agree to use an

electronic signature to demonstrate my

acknowledgment. An electronic signature

is as legally binding as an ink signature.

Yes

Washington Summary of Rights Acknowledgment

By checking the box, I (a) acknowledge

that I have read and understand the

Summary of Rights Under Washington's

Fair Credit Reporting Act and have been

given the opportunity to copy/print the

Summary of Rights and (b) agree to use

Yes

8

an electronic signature to demonstrate my

acknowledgment. An electronic signature

is as legally binding as an ink signature.

PSP Disclosure and Authorization

By checking the box, I (a) acknowledge

that I have read and understand the PSP

Disclosure and Authorization and also

have been given the opportunity to

copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

FCRA Disclosure

By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

FCRA Authorization

By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

Employment Verification Acknowledgment and Release (DOT Drug and Alcohol) By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

Clearinghouse Release

Yes

9

By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Summary of Rights Under 15 U.S.C. Section 1681m(a) By checking this box, I represent that I

understand and agree to the above

language.

Yes

NYC Authorization

By checking this box, I represent that I

understand and agree to the above

language.

Yes

NV Background Disclosure-Authorization

By checking this box, I represent that I

understand and agree to the above

language.

Yes

MD Background Disclosure-Authorization

By checking this box, I represent that I

understand and agree to the above

language.

Yes

NH Background Disclosure-Authorization

By checking this box, I represent that I

understand and agree to the above

language.

Yes

User Requested Copy

User requested a copy to be sent to this

email address adxaqu@r.postjobfree.com.

Yes

10

Centerline (the "Company") may request, for lawful employment purposes, background information about you from a consumer reporting agency in connection with your employment or application for employment (including independent contractor assignments, as applicable). This background information may be obtained in the form of consumer reports and/or investigative consumer reports (commonly known as "background reports"). An "investigative consumer report" is a background report that includes information from personal interviews (except in California, where that term includes background reports with or without information obtained from personal interviews), the most common form of which is checking personal or professional references. These background reports may be obtained at any time after receipt of your authorization and, if you are hired or engaged by the Company, throughout your employment or your contract period, as allowed by law.

The background report may contain information concerning your character, general reputation, personal characteristics, and mode of living. The types of information that may be obtained include, but are not limited to: employment history

(e.g., dates of employment, final salary information, performance-related information, reasons for departure, etc.); personal and professional reference checks; and other information bearing on your character, general reputation, personal characteristics, and mode of living.

This information may be obtained from private and public record sources, including, as appropriate: government agencies and courthouses; educational institutions; former employers; and, for investigative consumer reports, personal interviews with sources such as neighbors, friends, former employers and associates; and other information sources provided as references. The Company is not intending to collect, and will not be requesting, any information bearing on your credit worthiness, credit standing, or credit capacity, unless it otherwise notifies you prior thereto in writing. You may request more information about the nature and scope of an investigative consumer report, if any, by contacting the Company.

A summary of your rights under the Fair Credit Reporting Act is also being provided to you. Printed Name:

Adrian Leos

Social Security #:

7479

Signed Date: 05-19-2023

Adrian Leos

8741 Ulster St.

Commerce City, CO 80022

720-***-****

Gender:

DISCLOSURE REGARDING BACKGROUND INVESTIGATION 11

ACKNOWLEDGMENT AND AUTHORIZATION

I have carefully read and understand the Disclosure Regarding Background Investigation and the attached summary of rights under the Fair Credit Reporting Act. By my signature below, I consent to preparation of background reports by a consumer reporting agency such as Asurint and/or HireRight, and to the release of such background reports to the Company and its designated representatives and agents, for the purpose of assisting the Company in making a determination as to my eligibility for employment, promotion, retention or for other lawful employment purposes. I understand that if the Company hires me, my consent will apply, and the Company may, as allowed by law, obtain additional background reports pertaining to me, without asking for my authorization again, throughout my employment or contract period from Asurint, HireRight and/or other consumer reporting agencies. I also understand that nothing herein shall be construed as an offer of employment. By my signature below, I certify the information I provided on and in connection with this form is true, accurate, and complete. I agree that this form in original, faxed, photocopied or electronic (including electronically signed) form, will be valid for any background reports that may be requested by or on behalf of the Company. Printed Name:

Adrian Leos

Social Security #:

7479

Signed Date: 05-19-2023

Adrian Leos

8741 Ulster St.

Commerce City, CO 80022

720-***-****

Gender:

DISCLOSURE REGARDING BACKGROUND INVESTIGATION 12

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Centerline Drivers, LLC. ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization. AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize Centerline Drivers, LLC. ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above. Printed Name:

Adrian Leos

Signed Date: 05-19-2023

DISCLOSURE REGARDING BACKGROUND INVESTIGATION 13

Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse

I hereby provide consent to Centerline Drivers, LLC. to conduct a limited query of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I understand this consent shall remain on file and shall serve as ongoing consent for Centerline Drivers, LLC. to conduct multiple limited queries of the Clearinghouse at any time during my employment or contract period without asking me for additional consent. I understand that if I refuse to provide consent for Centerline Drivers, LLC. to conduct a limited query of the Clearinghouse, Centerline Drivers, LLC. is required to prohibit me from performing safety-sensitive functions, including operating a commercial motor vehicle. I understand that if the limited query conducted by Centerline Drivers, LLC. indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Centerline Drivers, LLC. unless I give additional specific consent within the Clearinghouse. However, I understand that Centerline Drivers, LLC. will be required to conduct a full query of the Clearinghouse within 24 hours after a limited query indicates that drug or alcohol information exists and that if I do not grant consent within the Clearinghouse for that full query I will be removed from performing safety-sensitive functions, including operating a commercial motor vehicle.

05-19-2023

Adrian Leos Date

DISCLOSURE REGARDING BACKGROUND INVESTIGATION 14

Summary of Rights Under 15 U.S.C. Section 1681m(a) You are hereby provided a summary of the following provisions of the Fair Credit Reporting Act, 15 U.S.C. 1681m(a): The following consumer reporting agencies will prepare the background report / consumer report for Centerline Drivers, LLC.

('Company'):

Asurint

Compliance Dept

PO Box 14730

Cleveland, Ohio 44114

Phone: 800-***-****

Email: adxaqu@r.postjobfree.com

Web: https://www.asurint.com/candidates

Samba Safety

P.O. Box 92890

Albuquerque, NM 87199

Fax: 877-***-****

Web: https://www.safetyholdingsinc.com/consumer-dispute-instructions/ DriverIQ

4500 S 129th E Ave, Suite 127

Tulsa, OK 74134

Phone: 855-***-****

Email: adxaqu@r.postjobfree.com

Web: https://www.cisive.com/dispute-a-background-report Tenstreet

120 W. 3rd Street

Tulsa, OK 74103

Phone: 877-***-****

Email: adxaqu@r.postjobfree.com

Web: http://www.tenstreet.com/drivers/

For Clearinghouse:

U.S. Federal Motor Carrier Safety Administration, of the Department of Transportation, ("FMCSA-DOT") 1200 New Jersey Avenue SE

Washington, DC 20590

Phone: 800-***-****, TTY 800-***-****

https://dataqs.fmcsa.dot.gov/Default.aspx

HireRight, LLC

Attn: Consumers Dept.

14002 E 21st Street

Suite 1200

Tulsa, OK 74134

Phone: 866-***-****

Fax: 918-***-****

Email: adxaqu@r.postjobfree.com

Web: http://www.hireright.com/applicants

First Advantage

Corporate Headquarters

1 Concourse Parkway NE, Suite 200

Atlanta, GA 30328

https://fadv.com/contact/locations/

Driverfacts, Inc.

5051 E. Orangethorpe Ave.

#E265

Anaheim, CA 92807

Phone: 888-***-****

Email: adxaqu@r.postjobfree.com

·

DISCLOSURE REGARDING BACKGROUND INVESTIGATION 15

Web: https://www.driverportal.com/index.asp

DriverReach, LLC

Attn: Consumer Disputes

8440 Woodfield Crossing Boulevard,

Suite 500

Indianapolis, Indiana, 46240

Phone: 800-***-****

Fax: 317-***-****

Email: adxaqu@r.postjobfree.com

Web: https://www.driverreach.com/voe-disputes

No consumer reporting agency utilized by the Company makes adverse decisions relating to your employment or contract relationship and no consumer reporting agency utilized by the Company is able to provide any specific reasons to you why an adverse decision relating to your employment or contract relationship may be taken or was taken based on a consumer report.

·

15 U.S.C. 1681j provides for the right to obtain a free copy of a consumer report on you from the consumer reporting agency which prepared your background report, under various circumstances, including but not limited to where you receive notice that an adverse action has been taken toward you based on the consumer report. In that instance, Section 1681j provides a right to a free copy of the report provided that you make the request within 60 days of the date that you received notice of the adverse action.

·

15 U.S.C. 1681i provides for the right to dispute, with a consumer reporting agency the accuracy or completeness of any information in a consumer report furnished by the agency.

·

Printed Name:

Adrian Leos

Social Security #:

7479

Signed Date: 05-19-2023

Adrian Leos

8741 Ulster St.

Commerce City, CO 80022

720-***-****

DISCLOSURE REGARDING BACKGROUND INVESTIGATION 16

NYC Authorization

AUTHORIZATION

By signing this authorization, I acknowledge that I have received and read multiple stand-alone documents in the e-mail sent to me with the links to this system or otherwise provided to me, including DISCLOSURE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand these documents. I hereby authorize the obtaining of "consumer reports" and/or

"investigative consumer reports" by Centerline Drivers at any time after receipt of this authorization and throughout my employment, as allowable by applicable law. To this end, I hereby authorize, without reservation, any administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Asurint, P.O. Box 14730, Cleveland, OH 44114, 800-***-****, https://www.asurint.com/privacy-policy and/or Centerline Drivers. I agree that a facsimile ("fax"), electronic or photographic copy of this Authorization shall be as valid as the original and I agree to receive any notices, relating to my background check, electronically. New York applicants only: Upon request, you will be informed whether or not a consumer report was requested by the Company, and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report.

New York City



Contact this candidate