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DISCLOSURE AND RELEASE OF INFORMATION …

DISCLOSURE AND RELEASE OF INFORMATION authorization I authorize BNSF Railway Company and First Advantage, a consumer reporting agency, to retrieve INFORMATION from all personnel, educational institutions, government agencies, companies, corporations, credit reporting agencies, law enforcement agencies at the federal, state (including the Minnesota Bureau of Criminal Apprehension), or county level, worker s compensation agencies or individuals relating to my past activities, to supply any and all INFORMATION concerning my background and RELEASE from any liability resulting in providing such INFORMATION .

FMCSA - 1 Rev 8/28/12 FMCSA Safety Sensitive Authorization for Applicant or Employee Safety Performance History including Alcohol and …

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