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Driver's License or State ID Information
Emergency Contacts
Previous Employment

ARTIO TRAFIC PROTECTION provides Equal Employment Opportunities to all employees and applicants for employment without regard to race, color, religion, sexual orientation, national origin, age, marital status, familial status, gender identity, disability, or genetics, in compliance with Federal, State, and local laws.


ARTIO TRAFFIC PROTECTION reasonably accommodates qualified individuals with disabilities to enable them to receive Equal Employment Opportunity and to perform the essential functions of the job unless the accommodation would impose an undue hardship to ETHOS. This applies to all applicants and employees.


I certify that the statements made in this application are true and correct. I understand that any false statements on this application can be considered the cause for my immediate dismissal. I authorize investigation of all statements contained within this application.

Authorization for Background Check

Please read and sign this form in the space provided below. Your written authorization is necessary for completion of this application.


Pursuant to the federal Fair Credit Reporting Act, I, herby authorize ARTIO TRAFFIC PROTECTION (ATP) and its designated agents and representatives to conduct a comprehensive review of my background through a consumer report and/or investigative consumer report to be generated for employment, promotion, reassignment, or retention as an employee. I understand that the scope of the consumer report/investigative report may include, but is not limited to, the following areas: verification of Social Security number; verification of state or locally issued id, current and previous residences,, employment history, including all personnel files, education, references, credit history and reports, criminal history, ,including records from any criminal justice agency in any or all federal, state or county jurisdictions, birth records, motor vehicle records, including traffic citations and registration, and any other public records.


I authorize the complete release of these records or data pertaining to me that an individual, company, firm, corporation, or public agency may have. I hereby authorize and request any present or former employer, school, police department, financial institution or other persons having personal knowledge of me to furnish ATP or its designated agents with any and all information in their possession regarding me in connection with an application for employment. I am authorizing that a photocopy of this authorization be accepted with the same authority as the original.


I understand that, pursuant to the Federal Fair Credit Reporting Act, if any adverse action is to be taken based upon the consumer report, a copy of the report and a summary of the consumer’s rights will be provided to me.


I also understand that I may withhold my permission and that in such a case, no investigation will be done and my application for employment will not be processed further.

MVR Release Consent Form

In conjunction with my employment or continuing employment with Artio Taffic Protection

(ATP), I, the applicant, consent to the release of my Motor Vehicle Record to ATP, its agents, employees and/or assigns. I understand that ATP will use these records to evaluate my suitability to fulfill driving duties that may be related to the position for which I am applying or to which I may be transferred and/or promoted. I also consent to the review, evaluation, and other use of any MVR I may have provided to ATP.


I specifically acknowledge that this release shall be deemed ongoing and that ATP may use the same for, but not limited to, annual MVR runs.


This consent is given in satisfaction of Public Law 18 USC 2721 et Seq., “Federal Drivers Privacy Protection Act,” and is intended to constitute “written consent” as required by this Act.

Direct Deposit Authorization

Account 1:

Account 2:

Remainder to be deposited into this account

Upload File

By signing below, I specifically authorize ARTIO TRAFFIC PROTECTION to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in the future (the “Account”). This authorizes the financial institution holding the Account to post all such entries. I agree that the ACH transactions authorized herein shall comply with all applicable U.S. Law. This authorization will be in effect until the company receives a written termination and has been afforded a reasonable opportunity to process the same.

Thank you! We’ll be in touch.

Downloadable Files:
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