A J. E. Gibson Company
Call Us: 607-243-7568

Page 2 of Application for Employment

You must complete and submit this form before your application is considered complete.

Motor Vehicle Reporting Disclosure

  • In accordance with the provisions of Sections 604(b)(2)(A) of the Fair Credit Reporting Act (Public Law 9 1-508), 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 a consumer report may be obtained on you for employment purposes.


    I acknowledge the receipt of the above disclosure and authorize the above named company to obtain a motor vehicle report only on me for employment purposes. This authorization is ongoing in the event such a report is needed in the future.

 

Verification

 
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Residential • Commercial • Roll-Off Dumpster
Cardinal Disposal
607-243-7568
635 Shannon Corners Road
P.O. Box 175 • Dundee, NY 14837
info@cardinaldisposal.com
www.cardinaldisposal.com

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