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East Mountain Transport Inc.

East Mountain Transport Inc.

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EMT Online Driver Application

Submission Release:

By submitting this application, which is electronically transmitted without a signature, I certify that I have personally completed this application and that all of the information is true and correct. I authorize EMT to conduct a thorough background investigation in accordance with state and federal law and authorize my previous employers to release any information requested by East Mountain Transport. I hold EMT harmless of all liability from the release of said information. Also, in accordance with the provisions of 49 CFR Part 382.405 and 382.413, I hereby authorize and require my previous / current employers specifically listed by me to release the results (including any refusal to test) of all drug and alcohol tests. I have read, understand and agree to the submission release.

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East Mountain Transport, Inc.

P.O. Box 237477
Cocoa, FL 32923

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