By my signature below, I expressly authorize and instruct the consumer reporting agency to perform and release to Independent Pharmacy Distributor, LLC a Background check Report(s) on me at the request of Independent Pharmacy Distributor, LLC in conjunction with my employment application. I understand that if Independent Pharmacy Distributor, LLC hires me, my consent will apply throughout my employment to the extent permitted by law, unless I revoke or cancel my consent by sending a signed statement to Independent Pharmacy Distributor, LLC. I understand that, to the extent allowed by law, information contained in my job application or otherwise disclosed by me before, during or after my employment may be utilized for the purpose of obtaining Background Check Reports. By my signature below, I also authorize the disclosure to the consumer reporting agency information concerning my employment history, education, credit history, motor vehicle history, and criminal history, and all other information the consumer reporting agency deems pertinent by any individual, corporation, or other private or public entity, including without limitation the following: employers, learning institutions, law enforcement agencies, federal, state and local courts, the military, credit bureaus, motor vehicle records, National Sex Offender Registry, Office of the Inspector General, and the other applicable sources. I further acknowledge that a Fax or photographic copy of this release will be as valid as the original. I also understand that any false statements or deliberate omissions or false representations on this document or any other document may be grounds for disqualification from employment opportunities or dismissal from Independent Pharmacy Distributor, LLC. For residents of California, Minnesota, and Oklahoma only: You will be provided with a free copy of any consumer reports or investigative consumer reports on you if you initial the space provided.