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Background Check Authorization and Release Form

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I hereby authorize the release to Roamer Transport, Inc., any and all information regarding my prior employment, criminal, credit, driving, workers compensation and educational history as well as information regarding my general character and reputation. I release any providers of such information from any liability for providing the information. I understand the information may be reviewed initially and periodically by Roamer Transport, Inc.

I release Roamer Transport, Inc. and their agents and assigns, from any and all demands and/or liabilities that may originate from these investigations, or any demand or liability which may result from any drug testing procedure, or other medical screening procedures conducted by them or their agents, and any person, corporation, company, institute or their agents who may act upon the authority of this release.

I agree falsification may make me ineligible for employment or subject to immediate dismissal, if hired. I further acknowledge that Roamer Transport, Inc. is relying on third party information and I therefore release Roamer Transport, Inc., my prospective/actual employer, and their respective owners, agents and employees from any and all liability arising out of errors or omissions.

I hereby authorize that a photocopy or electronic facsimile of this document shall serve as an original.

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September 15, 2020 2:46 pm MDT

Background Check Authorization and Release Form Uploaded by Roamer Transport - recruiting@roamertransport.com IP 173.47.82.139