I certify that I personally completed this form and that all of the information is true and correct.
I authorize J. B. Hunt to conduct a thorough background investigation in accordance with
state and federal law and authorize my previous employers to release any information requested by
J. B. Hunt and hold them 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 and/or current employers specifically listed by me on this pre-qualify form to
release the results (including any refusal to test) of all drug and alcohol tests taken by me
pursuant to the provisions of 49 CFR while in their employment to J. B. Hunt Transport, Inc.
by whatever means is most expedient.

