REQUEST FOR INFORMATION FROM PREVIOUS EMPLOYER

From: RV Transport Inc. LaGrange County, Indiana
To: 
Applicant name: 
Date: May 22nd, 2017
Social Security #: 

Has applied to this company for a position as and states that he/she was employed by you as from to . Will you please reply to the inquiry below in regards to this applicant. Your information will be held in the strictest confidence and will in no way involve you in any responsibility. For your convenience in replying by mail, we have enclosed a self addressed envelope.

Thank You,
Martha Glick, Safety Department

You are hereby authorized to give to RV Transport Inc., Safety Department all information regarding services, character and conduct while in your employ. You are released from any and all liability which may result from furnishing such information to the above named company.