By checking below, I certify that this employment application was completed by me and that all of the information on this application is true and correct to the best of my knowledge. I understand that any falsification, misrepresentation or omission of facts will result in my disqualification from further consideration or dismissal from employment if I am hired. I understand that any offer of employment will be conditional upon my successful completion of a DOT physical examination and drug test, and an employment background investigation. Further, I authorize the release of information pertaining to my past employment including but not limited to accident history, dates of employment, motor vehicle record information, all DOT inspection histories, and any other information concerning my employment history to Hutt Trucking Company. Pursuant to 49 CFR Parts 40 and 382, I authorize the release of all drug and alcohol testing information and results to Hutt Trucking Company.