AFFIDAVIT: I hereby certify that the responses provided on and attached hereto are true and accurate to the best of my knowledge and belief, and that I may be required to provide additional information. I further certify that I am of good moral character and that I have reviewed and will comply with all pertinent laws of the State of Florida and the county of Brevard. I hereby authorize CAB 54 to administer the driver evaluation and authorize them to release any information, communication, report, record, stamen, recommendation, or disclosure that may have a bearing on my eligibility for the position for which I am applying. I understand by signing this I am authorizing the release of information about me that may otherwise be protected or confidential, and that I may be required to submit additional information in order for my application to be considered. I acknowledge that there are certain risks involved in driving and I hereby assume those risks. In consideration of CAB 54 performing the evaluation of me as a taxi driver, I hereby agree to indemnify and I hereby agree to indemnify and hold harmless CAB54, its employees, officers or assigns, of any and all damage and injury that may occur to me, to CAB 54 or to any third party as a result of any action that occurs during the driving test.

I Agree:Yes