Palmer Moving


    Application Information


    Please list three professional references.

    Previous Employment

    Military Service

    Disclaimer and Signature

    I certify that my answers are true and complete to the best of my knowledge.
    If this application leads to employment, I understand that false or milseading information in my application or interview may result in my release.


    I hereby request that my police record and/or any criminal court record relating to pending felony charges
    and all criminal convictions, as may be obtained from an examination of your files or from any other
    knowledge which you may have, be released to the bearer of the agreement stating such policy record of court record, if any.

    I hereby waive any and all rights which I may have against you, your department or court, or any of your
    officers or employees by reason of your furnishing such record and I also agree to hold harmless in the event of damages suffered from the release of this information both the department or court releasing such information as well as the firm authorizing to receive this information, its divisions, subsidiaries and agents.

    This employer is also hereby authorized to conduct an investigation of any previous employment history,
    personal history, and/or credit and financial records; employing investigative or credit agencies or bureaus of their choice subject to the provisions of the Fair Credit Reporting Act.
    Further, I hereby release all of my previous employers of any and all liability related to the disclosures of any information regarding my employment history provided to the bearer of the document.