THE UNDERSIGNED DOES HEREBY ACKNOWLEDGE AND CERTIFY AS FOLLOWS:
You certify that the undersigned is an employee, or has applied to become an employee
of the below named employer in a position which involves the operation of a motor
vehicle and the undersigned gives his or her consent to the release of their driving
record (MVR) for review by:
Proclaimed Logistics
That the undersigned authorizes his or her driving record to be periodically obtained
and reviewed for the purpose of initial and continued employment.
That all information presented in this form is true and correct. The undersigned
makes this certification and affirmation under penalty of perjury and understands that
knowingly making a false statement or representation on this form is a criminal
violation.
