Drivers Background Check Authorization Form

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1-866-580-1818 Monday - Friday 7:00 am to 5:00 pm

DRIVERS DISCLOSURE AND AUTHORIZATION TO OBTAIN INFORMATION

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Utility Technology Services
9636 West Reno
Oklahoma City, OK 73127
1-866-580-1818
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[{"EntityId":"1","TableId":"498","TableName":"INFUSION_SHOWROOM","TableDetails":[{"RowId'":"166","ADDRESS":"1090 36th Street SE","CITY":"Grand Rapids","ZIP":"49508","STATE":"MI","WORKING_HOURS":"Mon- Fri: 9:00 AM-5:00 PM, Sat-Sun Closed","PARENT_BRANCH_CODE":"GRPD"}]},{"EntityId":"2","TableId":"498","TableName":"INFUSION_SHOWROOM","TableDetails":[{"RowId'":"165","ADDRESS":"5231 East ML Ave","CITY":"Kalamazoo","ZIP":"49048","STATE":"MI","WORKING_HOURS":"Monday - Friday: 9:00 AM-5:00 PM","PARENT_BRANCH_CODE":"KZOO"}]},{"EntityId":"3","TableId":"498","TableName":"INFUSION_SHOWROOM","TableDetails":[{"RowId'":"182","ADDRESS":"1969 West South Airport Road","CITY":"Traverse City","ZIP":"49686","STATE":"MI","WORKING_HOURS":"Monday - Friday: 9:00 AM-5:00 PM","PARENT_BRANCH_CODE":"TCTY"}]},{"EntityId":"5","TableId":"498","TableName":"INFUSION_SHOWROOM","TableDetails":[{"RowId'":"183","ADDRESS":"10801 Grand River Hwy","CITY":"Grand Ledge","ZIP":"48837","STATE":"MI","WORKING_HOURS":"Mon-Fri: 9:00 AM-5:00 PM, Sat-Sun Closed","PARENT_BRANCH_CODE":"GLDG"}]},{"EntityId":"6","TableId":"498","TableName":"INFUSION_SHOWROOM","TableDetails":[{"RowId'":"185","ADDRESS":"29949 Beck Rd.","CITY":"Wixom","ZIP":"48393","STATE":"MI","WORKING_HOURS":"Monday, Tuesday, Thursday & Friday: 9:00 AM-5:00 PM Wednesday: 9:00 AM-7:00 PM Saturday: 9:00 AM-1:00 PM","PARENT_BRANCH_CODE":"WIXM"}]},{"EntityId":"13","TableId":"498","TableName":"INFUSION_SHOWROOM","TableDetails":[{"RowId'":"167","ADDRESS":"783 Chicago Drive","CITY":"Holland","ZIP":"49423","STATE":"MI","WORKING_HOURS":"Mon-Fri: 9:00 AM-5:00 PM, Sat: By Appointment Only","PARENT_BRANCH_CODE":"HOLL"}]}]

DRIVERS DISCLOSURE AND AUTHORIZATION TO OBTAIN INFORMATION

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