Submission of applications are an agreement to the following: *

I certify that I personally completed this application and that all the information is true and correct. I authorize Forward Trucking, LLC to conduct a thorough background investigation following state and federal law and authorize my earlier employer to release any information requested by Forward Trucking, LLC and hold them harmless of all liability from the release of said information. I understand DOT services may supply background reports which may include names and dates of earlier employers, the reason for termination, work experience, accidents, etc. I further understand that such review may hold public record information concerning my driving record and worker compensation claims. Also in accordance with the provisions of 49 CFR Part 382.413, I hereby authorize and require my previous and/or current employers specifically listed by me on this application to release the results (including any refusal to test) of all drug and alcohol test taken by me pursuant to the provisions of 49 CFR while in their employment and any DOT accident history records to Forward Trucking, LLC by whatever means is most expedient. I AUTHORIZE WITHOUT RESERVATION ANY PARTY OR AGENCY CONTACTED TO FURNISH THE ABOVE-MENTIONED INFORMATION. NOTE THAT BY SUBMITTING THIS APPLICATION YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENT