I hereby authorize you to release the following information to D&N Trucking, Inc. for the purpose of investigation as required by 391.23 and 382 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability which may result from furnishing such information. I, the undersigned, understand if I wish to Review previous employer-provided information, I must submit a written request to the prospective within 30 days after being employed or being notified of denial of employment. I understand I have the right to issue a rebuttal statement if the previous employer's statement does not agree with my statement. Drivers wishing to request correction of erroneous information in records received must send the request for the correction to the previous employer that provided the records. Please refer to FMCSR 391.23.

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