By submitting this application, which is electronically transmitted without signature, I certify that I have personally completed this application and all of the information is true and correct.

I authorize EB Trucking to conduct a thorough background investigation in accordance with the state and federal law and authorize my previous employers to release any information related to me and hold them harmless of all liability from the release of said information.

Also, in accordance with the provisions of 49 CFR Part 382.405 and 382.413, I hereby authorize and require my previous and/or current employers specifically listed by me to release the results (including any refusal to test) of all drug and alcohol tests.

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