FAIR CREDIT REPORTING & DISCLOSURE STATEMENT
In accordance with the provisions of Section 604(b)(2)(A) of the Fair Credit Reporting Act, Public
law 91-508, as amended by the Consumer Credit Reporting Act of 1996 (Title II, Subtitle D, Chapter I, of Public Law 104-208), you are being
informed that reports verifying your previous employment, previous drug and alcohol test results, and your driving record may be obtained on
for employment purposes. These reports are required by Sections 382-413, 391.23 and 391.25 of the Federal Motor Carrier Safety Regulations.
I HERBY AUTHORIZE YOU TO RELEASE THE FOLLOWING INFORMATION TO TO CLARK FREIGHT LINES, INC, FOR PURPOSES OF INVESTIGATION AS REQUIRED BY
SECTIONS 391.23 AND 391.25 OF THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS. YOU ARE HERE BY RELEASED FROM ANY AND ALL LIABILITY WHICH
MAY RESULT FROM FURNISHING SUCH INFORMATION
In connection with, and for the duration of my employment, (including Testing and Contractor Services for), I hereby authorize
CLARK FREIGHT LINES, INC and/or its agents to make an independent investigation of my background, references, character, past employment,
education, driving history, criminal or police records, including those maintained by both public and private organizations, and all public
records for the purpose of confirming the information contained on my application and/or other information which may be material to my
qualifications for employment. I release e-VERIFILE.COM, Inc., Ceridian Corporation, First Advantage Corporation and USIS/DAC SERVICES,
or any other verification service provider utilized by Clark Freight Lines, Inc., and/or its agents any person or entity, which provides
information pursuant to this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from
any and all of the above reference sources used.