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I have no prior injures that would be aggravated by performing work at a job site.

I acknowledge there are serious penalties from the State of California for falsely claiming injuries on a job site.

I have read and understand the Crowning Touch Safety Manual.

CTI reserves the right to administer a drug test upon examination of a job related accident in order to file an accident report accurately.

CTI reserves the right to terminate employment at any time with or without cause.

Under penalties of perjury, I declare that all of the above information is true and correct.

I have read the safety program manual attached at the bottom of this page.