Starn C Farmer

I hope to achieve getting a house one day and getting myself out of debt before I get too old.

• I consent to the release of my Motor Vehicle Records (MVR), Background Check and Credit Information to the company listed below (The Company) or it's agent. I understand the company will use these records to evaluate my suitability to fulfill duties that may be related to my position. I also consent to the review, evaluation, and other use of any MVR or Background Check that I may have provided to the company.
• This consent is given in satisfaction of Public Law18 USC2721 et. Seq., “Federal Drivers Privacy Protection Act”, and is intended to constitute “written consent” as required by this Act.
• I understand that my employer may utilize Limo & Bus Compliance LLC to collect and review my motor vehicle report and/or background check, including contacting current and former employers. I give consent for Limo & Bus Compliance, The Company, or its agent to act on my behalf while collecting any reports needed to verify my driving history or background information. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by any of the following companies or The Company listed below:
• Limo & Bus Compliance LLC2132 W Angelop Way Queen Creek, AZ85143
• ClearStar Inc6250 Shiloh Rd Ste300 Alpharetta, GA30005
• IntelliCorp Records, Inc3000 Auburn Dr, Ste410 Beachwood, OH44122
• Consumer reports may include background, employment history, academic and/or professional credentials, military service, credit history, social media posts and driving history. The information gathered also may involve a criminal history and/or alcohol or drug use history, if any. If your employment falls under the federal Department of Transportation (“DOT”) and the Federal Motor Carrier Safety Administration (“FMCSA”), including49 CFR 391.23, the report will include your driving, safety inspection and performance history from the FMCSA.
• You have the right, upon written request, to a complete and accurate disclosure of the nature and scope of the investigation. You also are entitled to a copy of that document entitled “Rights Under the Fair Credit Reporting Act”. Under the FCRA, before we take adverse action on the basis, in whole or in part, of information in a consumer report, you will be provided a copy of that report, the name, address, and telephone number of the consumer reporting agency, and a summary of your rights under the FCRA.
• THE COMPANY Company Name: ___________________________________________________________
• Company Address: ___________________________________________________________
• APPLICANT Applicant Full Printed Name: ___________________________________________ License Class __________
• Applicant Signature: __________________________________________________ Date: ______________
• Phone: _______________ Drivers’ License Number: __________________________ State: _____
• Full Address: __________________________________________________________ County: _________________
• Date of Birth: __________ SSN: ______________ Email Address: __________________________
• This consent shall remain in effect for the duration of your employment or until revoked in writing to the above named companies.
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• VERSION2.4 LBCIFleet.com