Date Format: MM slash DD slash YYYY
This will only be used to access your motor vehicle history report.
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As an EQUAL EMPLOYMENT OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER, Enviroscapes does not discriminate against applicants or employees because of their age, race, color, religion, national origin, sex, medical or mental condition or on any other basis prohibited by law, provided the applicant is qualified and meets the requirements established by Enviroscapes for the job. We practice pre-employment random drug testing and thorough criminal background checks. As an employment AT WILL EMPLOYER, the employee or employer may terminate employment at any time and for any reason, and without notice.
Disclosure under Fair Credit Reporting Act and Consent to Procurement of Motor Vehicle Report for Employment Purposes
The undersigned hereby authorizes Todd's Enviroscapes Inc or its insurance agency AssuredPartners of Ohio LLC, or its assigns, to obtain copies of Motor Vehicle Reports, which may be classified as a consumer report, pertaining to me for employment purposes and for use in rating and/or underwriting insurance for which the above-named employer may apply and any renewal thereof. I understand that in obtaining such consumer reports, a consumer reporting agency may be used, and I do hereby authorize such use.
Autorization and Release
By completing the E-signature and date fields at the end of this application, I hereby certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I understand and agree that any misrepresentation or omission of facts in my application may be justification for refusal to hire, or termination of employment. I have been requested to provide information for the purpose of reviewing my qualifications background. Therefore, I authorize Todd’s Enviroscapes, Inc. to investigate my past and present records as well as reference information both private and public. I release from liability or damages, any person, company or organization providing actual information about my qualifications and related characteristics to Enviroscapes. I also authorize the release of such records and information to and from the company and do release all persons, agencies, firms, companies, etc., from any liability or damages resulting from the investigation, collection and/or release of such records and information. This authorization is valid 90 days from the date of my e-signature.