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RELEASE AND WAIVER - JoinLAFD

CITY OF LOS ANGELES CALIFORNIA FIREFIGHTER AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER PERSONNEL DEPARTMENT PERSONNEL BUILDING PUBLIC SAFETY DIVISION 700 EAST TEMPLE STREET, ROOM B-22 LOS ANGELES, CA 90012 __ RELEASE AND WAIVER (NOTARY REQUIRED) TO WHOM IT MAY CONCERN Having made application for employment with the City of Los Angeles ( City ), for the position of firefighter, I hereby authorize for one year from the date of execution hereof, any authorized representative of the City bearing this RELEASE , or a copy of it, to obtain any information pertaining to my employment, credit history, education, residence, academic achievement, personal information, work performance, all examination materials and results, background investigations, polygraph examinations, any and all interna

this release and waiver is valid for a period of one calendar year from the date of execution rev. 7/16/2015 full name:_____(signature) ssn:_____

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