EmailMeForm
Pre-Application
DISCLOSURE AND RELEASE
In connection with my application for employment (including contract for services with you, I understand that consumer reports which may contain public record information may be requested form consumer reporting agency ("CRA"). These reports may include the following types of information: names and dates of previous employers, reason for terminations of employment, work experience,accidents. ect. I further understand that such reports may contain public record information concerning my driving record, workers compensation claims, credit , bankruptcy proceedings, criminal records, ect,, from federal , state and other agencies which maintain such records; as well and information from CRA concerning previous driving record request mad by others from such state agencies, and state provided driving records.
I AUTHORIZE HUB INTERNATIONAL TRANSPORTATION, WITHOUT RESERVATION, TO RELEASE THE ABOVE INFORMATION TO:
Trucking Company Name: RTS, INC.
OR ANY INSURANCE CARRIER LOOKING TO UNDERWRITE INSURANCE COVERAGE FOR THEM.
I hereby consent to your obtaining the above information form the CRA or other sources that is protected by various Federal, State & Local Laws or regulations and will hold you and or the suppliers of such information harmless from any and all liabilities associated with the information contained in the documents.
I hereby authorize procurement of consumer report(s). If hire (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time.
Name
First
Last
Date Time
MM
/
DD
/
YYYY
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Social Security No.
*
Phone
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Date of Birth
MM
/
DD
/
YYYY
Driver License
Expiration Date
MM
/
DD
/
YYYY
State
State
Choose One
Alabama - AL
Florida - FL
Illinois - IL
Indiana - IN
Kentucky - KY
Wisconsin - WI