Forms

Please follow the instructions below:

Record Request Form
Two (2)Forms are required for us to obtain †your†
†CSA2010 PSP Report†on your behalf.†
Please click on the two links below to download each form and then print out each form.†Please fax the†2 (two) completed†& signed forms to CSA2010Fix at (866) 813-4274†along with a legible copy of the front of your†CDL Drivers License.† We thank you for your business!

CSA 2010 PSP Report Consent Form

CSA 2010 PSP Authorization Form

††

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Our business address and contact information:

CSA2010 FIX.com
4516 Lovers Lane, Suite 399
Dallas, Texas 75225

Phone: 1-800 494-7517
Email address:
customerservice@dacrepair.com

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Be proactive! These PSP reports will end a lot of good careers unnecessarily.

Donít let it be yours.

Click Here For Information on our Services & to Order Now!

CSA2010FiX.com
1-800-494-7517
4516 Lovers Lane, Suite 399
Dallas, Texas 75225
Fax - 866-813-4274

customerservice@dacrepair.com

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©2010