Disclosure and Release

In connection with my application for training (including contract for services) with you, I understand that consumer reports, which may contain public record information, may be requested from DAC Services, Tulsa, Oklahoma.  These reports may include the following types of information: name and dates of previous employers, reason for termination of employment, work experience, accidents, etc.  I further understand that such reports may contain public record information concerning my driving record, worker’ compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies which maintain such records; as well as information from DAC concerning previous driving records requests made by other from such state agencies, and sate provided driving records.

I AUTHORIZE WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY DAC TO FURNISH THE ABOVE-MENTIONED INFORMATION.

I have the right  to make a request to DAC upon proper identification, to requested the nature and substance of all information in its files on me at the time of my request, including the sources of information; and the recipients of any reports on me which DAC has previously furnished with the two year period preceding my request.  I hereby consent to your obtaining the above information from DAC, and I agree that such information which DAC has or obtain, and my training history with you if I am hired, will be supplied by DAC to other companies which subscribe to DAC services.

I hereby authorize procurement of consumer reports(s). If accepted (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.