New Hire Application

I, hereby authorize Honc Docks and Lifts, Inc., its designated agents and representative to conduct a comprehensive review of my background, causing a consumer report and/or an investigation consumer report to be generated for employment purposes. I understand that the scope of the consumer report/investigative consumer report may include but is not limited to the following areas: Verification of social security number, current and previous residences, employment history including all personnel files; education including transcripts; character references; credit history and reports; criminal history records from any criminal justice agency in any and all federal, state, county jurisdictions; birth records; motor vehicle records to include traffic citations and registration; and any other public records or to conduct interviews with third parties relative to my character, general reputation, personal characteristics or mode of living. I further authorize any individual, company, firm, corporation or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written pertaining to me, to Honc Docks and Lifts, Inc. or its agents. I further authorize the complete release of records or data pertaining to me which the individual, company, firm, corporation or public agency may have, to include information or data received from other sources. I hereby release Honc Docks and Lifts, Inc. the Social Security Administration, its agents, officials, representatives or assigned agencies, including officers, employees or related personnel both individually and collectively, from any and all liability, for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associated because of compliance with this authorization and request to release. You may contact me as indicated below. I understand this authorization automatically expires 90 days from the date executed below and that I have the right to revoke the authorization at any time, provided I do so in writing.

Should an investigative consumer report be requested, I have the right to demand a complete and accurate disclosure of the nature and scope of the investigation requested, and a written summary of my rights under the Fair Credit Reporting Act.