Class A - Multi Page Application Authorization


Applicant Authorization - Signature Required

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PRE-EMPLOYMENT BACKGROUND INVESTIGATION RELEASE By signing below, in connection with, and for the duration of, my employment (including contract for services) with you, I authorize and understand that investigative background inquiries are to be made on myself including references, employment history, drug and alcohol information, education, consumer, driving, and other reports. I further authorize the references I have listed to disclose to the Company any and all letters, reports, and other information related to my work records without giving me prior notice of such disclosure. This information will, in whole or in part, be obtained from California Drug Testing Associates (CDTA) located at 1011 Camino Del Rio South, Suite 200, San Diego, CA 92108, Phone: 888-908-2382. These reports will include information as to my character, work habits, performance and experience of past employment from previous employers. Further, I understand that you will be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to my driving, credit, civil and other experiences as well as claims involving me in the files of insurance companies. This release may also be used to obtain worker's compensation and education records. I hereby release the Company, my former employers and other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigations or disclosures. I hereby grant Elite HR Logistics my permission to release my medical and background investigation information to any interested employer without notice. I acknowledge that any employment offered by the employer has no specified term and may be terminated by the employer or the employee at will with or without cause. I further acknowledge that this at will statement is not alterable except by a written agreement signed by the company president and myself. Original, authentic documentation is mandatory. If hired, I can submit original authentic documents that will verify my identity and demonstrate my employment authorization to work in the United States of America. I understand that the use of fraudulent documentation or documents that were lawfully issued to another person may result in a fine or imprisonment of up to five (5) years, or both. Use of altered cards or fraudulent cards is grounds for termination. Lastly, I certify that I, the undersigned application have personally completed this application and that all entries on it and information in it are true and complete to the best of my knowledge. I have not knowingly withheld any information that may adversely affect my chances for employment. I understand that any omission or misstatement of material facts on this application or on ay document used to secure the employment shall be grounds for rejection of this application or for the immediate discharge if I am employed, regardless of the time elapsed before discovery. *The ability to be bonded is a condition of hire: A photograph and a copy of your fingerprints may be required as part of our requirement during your employment.


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Signature Certificate
Document name: Class A - Multi Page Application Authorization
lock iconUnique Document ID: 8e5770a0e31eb433b4d37d28413c205cab1f9eee
Timestamp Audit
October 12, 2022 3:11 pm PDTClass A - Multi Page Application Authorization Uploaded by Desiree Caldwell - desiree@elitehrl.com IP 87.101.95.218