To Whom it May Concern:

I am an applicant for a position with the Kiowa County Sheriff's Office. The agency needs to thoroughly investigate my employment background and personal history to evaluate my qualifications to hold the position for which I have applied. It is in the public's best interest that all relevant information concerning my employment and personal history be disclosed to the above agency.

I hereby authorize any representative of the Kiowa County Sheriff's Office bearing this release to obtain any information in your files pertaining to my employment records, excluding medical records. I hereby direct you to release such information upon request of the bearer. I do hereby authorize a review and full disclosure of all records, or any part thereof, concerning myself by and to any duly authorized agent of the Kiowa County Sheriff's Office, whether such records are public, private, or confidential in nature. The intent of this authorization is to provide pertinent information to the Kiowa County Sheriffs Office to consider in the determining my suitability for employment with that agency. It is my Specific intent to provide access to personnel information, however personal or confidential it may appear to be.

I consent to the release of any and all public and private information that you have concerning me. This includes but is not limited to the following: employment records; personal background and reputation information; military service record; educational records; financial status and records; criminal history records to include all arrest records and any information contained in the investigatory files; efficiency and performance ratings; complaints and grievances filed by or against me; records or recollections of attorneys at law or other counsel whether representing me or another person in any case, either criminal or civil; attendance records; polygraph examinations and results thereof; any internal affairs investigations and/or disciplinary actions taken against me, including any files which have been deemed to be confidential or sealed.

I hereby release you, your organization, and all others from liability or damages that may result from releasing or furnishing information requested, including any liability or damage pursuant to any State or Federal laws. I hereby release you, as custodian of such records, and all other officers, employees, or related personnel, both individually and collectively, from any and all liability and damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information, or any attempt to comply with it. I direct you to release such information upon request of the duly accredited representative of the Kiowa County Sheriffs Office regardless of any agreement I may have previously made with you to the contrary. The Kiowa County Sheriffs Office, requesting the information pursuant to this release will discontinue pursuing my application if you refuse to disclose the information requested.

For and in consideration of the Kiowa County Sheriffs Office acceptance and processing of my application for employment, I agree to hold officers, its agents and employees harmless of any and all claims and liability associated with my application or in any way connected with the decision of whether or not to employ me with the Kiowa County Sheriffs Office. I understand that should information of a serious criminal nature become know as a result of this investigation, such information may be turned over to the proper authorities.

I understand my rights under Title 5, United States Code, Section 552a, the Privacy Act of 1974, the Colorado Revised Statues 24-72-201 and 24-72-301, the Colorado Open Records Act; and my rights under any other State Records Act, with regard to access and disclosure records, and I waive those rights with the understanding that the information furnished will be used by the Kiowa County Sheriffs Office in conjunction with employment procedures. A photocopy or FAX of this release waiver will be valid as an original thereof, even though said photocopy or FAX copy does not contain an original writing of my signature.

This waiver is valid for six months (180 days) from the notarized date of my signature.

Should there be any questions to the validity of this release, you may contact me at the address listed on this document.

I agree to indemnify and hold harmless the person to whom this request is presented, their agents and employees, from and against all claims, damages, losses and expenses including reasonable attorney's fees arising out of or by any reason of complying with this request.Out of curiosity, has anyone seen the significant brightness difference between the front and rear number boards? I have a pair myself, and both rear number boards are twice as bright as the fronts. I am trying to figure out if this is normal for this product or if I have something that needs fixing. With all the attention to detail, I would think something this obvious would not have been missed on purpose.

I first noticed it when I was running one, breaking it in, but when I combined the two, it became apparent that the brightness was a huge difference.

Kiowa County Sheriff Employment Application

Kiowa County Sheriff