red color - denotes required fields
The following voluntary information is requested by United Auto Insurance to evaluate its hiring practices and to prepare reports required by law for the State and Federal Government. This information is confidential and will NOT be used to make a decision about your employment.
Answering "yes" to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account. NOTE: You are not obligated to disclose sealed or expunged records of conviction or arrest or expunged juvenile records of conviction or arrest.