Job Application

I hereby acknowledge that in connection with my application and/or appointment to driving responsibilities A-1 Pool Service, Inc., its affiliates and/or subsidiaries and/or Gibson Risk Management Services will procure a Motor Vehicle Report (MVR) on me.

This release and authorization shall remain valid and in effect for the duration of my contract or employment with A-1 Pool Service, Inc., its affiliates and/or subsidiaries and reserves the right to run subsequent MVR’s on me at A-1 Pool Service, Inc., its affiliates and/or subsidiaries and/or Gibson Risk Management Services’ sole discretion.

I may revoke this Authorization at any time. If I proceed with such revocation of this Authorization, I will send a written revocation to A-1 Pool Service, Inc. at the address at which this application has been made.

I have been provided a summary of my rights under the FCRA. In the event that information from the MVR report is utilized in whole or in part in making an adverse decision I understand that I have the right to request in writing, within a reasonable time, that A-1 Pool Service, Inc. provide a complete and accurate disclosure of the nature and scope of the information requested. Upon my written request, Gibson Risk Management Services will provide a copy of the MVR mailed to me by U.S. first class mail to the address on my driving record.

By signing below, in compliance with the Fair Credit Reporting Act, I hereby authorize A-1 Pool Service, Inc., its affiliates and/or subsidiaries and/or Gibson Risk Management Services to procure an MVR on me to determine whether I meet its risk management standards for insurability on their commercial auto insurance policy. In addition, I also authorize all entities having information about me, including departments of motor vehicles, to release such information to A-1 Pool Service, Inc., its affiliates and/or subsidiaries and/or Gibson Risk Management Services.