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JASKO - MVR Disclosure and Authorization

Motor Vehicle Record โ€” EMP-FRM-004

JASKO ENTERPRISES, INC. · FORM EMP-FRM-004 · REV. 0 · EFFECTIVE NOVEMBER 1, 2026

This authorization permits JASKO to obtain and review motor vehicle records for employment and driver-qualification purposes, subject to applicable law.

AUTHORIZATION

I authorize JASKO Enterprises, Inc. and its authorized agents to obtain motor vehicle records from each jurisdiction in which I held a motor vehicle operator license or permit, for evaluating my qualifications, continued eligibility and compliance. This authorization does not waive rights provided by applicable law.

CERTIFICATION AND SIGNATURE

I certify that the information I provided is true, complete and accurate. I understand that an electronic signature has the same effect as a handwritten signature where permitted by law.

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JASKO Enterprises, Inc. — 1122 N. 189th Ave, Buckeye, AZ 85326