IDEALITY INC

1845 E RAND RD.UNIT # 106, ARLINGTON HEIGHTS, IL 6004

AUTHORIZATION FOR DRIVING RECORD CHECK

By signing below i authorize you to release the information requested to IDEALITY INC, as directed by the Federal Motor Carrier Safety Administration Regulations. I hereby release you from any libility which might be the result of providing this information.

Driver Signature - Click save after draw

1. By signing below, I certify that the information requested is to be used for a "premissible purpose", as defined by provisions of the Fair Credit Reporting Act, Section 604 and 607.

2. I also certify that should the individual be named hereafter be denied contractas a result of information received through this request, the source of the information will be identified in compliance with Section 615(a) of the Act.

Driver Name

Address

City

State

Zip

Commercial driver's license

CDL Number

State

Driver Signature - Click save after draw

FOR DEPARTMENT OF TRANSPORTATION VERIFICATION PURPOSE ONLY THIS IS NOT AN EMPLOYMENT APPLICATION!!!

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