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Click here or scroll down to respond to this candidateR E Garrison Trucking, Inc. 05-13-2022 2:42:20PM CDTStreet Address County Road 1194Vinemont, AL Street Address
PHONE NUMBER AVAILABLEIntelliAppThank you for your interest in R E Garrison Trucking, Inc.. To apply for a driving position,please complete our online application for employment. Incomplete information will delaythe processing of your application or prevent it from being submitted.In compliance with Federal and State equal employment opportunity laws, qualifiedapplicants are considered for all positions without regard to race, color, religion, sex,national origin, age, marital status, veteran status, non-job related disability, or any otherprotected group status.Personal InformationReferral Code: JBSName Iftekhar Ahmed KhanResidence 3 years or longer (If No, Yesprevious addresses shown below)Current Address 1605 Marsh LnAddress 2 Unit 401City, State/Province Zip/Postal Carrollton, TX 75006Country United StatesResidence 3 years or longer (If No, Yesprevious addresses shown below)SSN/SIN 4551Date of BirthPrimary Phone PHONE NUMBER AVAILABLECell Phone PHONE NUMBER AVAILABLEPreferred method of contact Cell PhoneBest time to contact you AfternoonEmail EMAIL AVAILABLEYes, I agree to receive information Yesconcerning future opportunities orpromotions from R E Garrison Trucking,Inc. by email or other commercialelectronic communications.Would you like to receive communication Yesfrom R E Garrison Trucking, Inc. via textmessage?By participating, you consent to receivetext messages sent by an automatic1telephone dialing system, which maycontain recruiting/advertising messages.Consent to these terms is not a conditionof being hired, contracted, or leased. Youmay opt out at any time by texting STOP tounsubscribe. You also agree that R EGarrison Trucking, Inc.'s service providerreceives in real time and logs your textmessages with R E Garrison Trucking,Inc..Company QuestionsGENERAL INFORMATIONWhat position are you applying for? Company DriverIf you selected you are a Team driverplease list team members nameAre you legally eligible for employment in Yesthe United States?Are you currently employed? NoWhat date did your last employment end? 5-3-2022Do you read, write, and speak English? YesHave you ever worked for this company Nobefore?Enter start and end dates, location,position, and reason for leaving:Do you have a current TWIC card? NoExpiration date:Please enter the names of any relativesemployed here:Have you ever been known by any other Noname?Enter name:Who referred you?Were you referred by and Owner NoneOperator? If you were please list thename, if you were not type none in the textboxIn case of Emergency, notify (list name, Alicia Rebiaiaddress, and phone): 1605 Marsh Lane, Apt#401Carrollton, TX 75006PHONE NUMBER AVAILABLE2DRIVING EXPERIENCEFor each class of equipment, enter type of equipment (van, reefer, tank, etc.), start andend dates, and approximate number of total miles. If no experience in a class, enter"NONE".Straight Truck NoneTractor and Semi-Trailer 2 YearsTractor - Two Trailers 3 monthsOther Tanker 1 YearWhich safe driving awards do you hold and Smith Testfrom whom?EQUIPMENT (OWNER/OPERATORS ONLY)Equipment Description (Tractor):Type:Year:Make:Model:Color:VIN:WeightMileageFifth Wheel HeightEDUCATIONList highest grade completed: College - 1List last school attended (name, city, and Computer Learning Centerstate):PERSONAL REFERENCESList name, address, city, state, phone number, and relationship:First Reference: Alicia Rebiai1605 Marsh Lane, Apt#401Carrollton, TX 75006PHONE NUMBER AVAILABLESecond Reference: Mumtaz Khan4850 N. Ridgeway AveChicago, IL 60625PHONE NUMBER AVAILABLE3LicensesLicense Number 201State/Province TXCountry United StatesLicense Class Class ALicense Expiration Date 08-26-2023Physical Expiration Date 01-17-2022Current License YesCommercial Driver License YesEndorsementsTanker Endorsement YesHAZMAT Endorsement YesX Endorsement YesDoubles Triples Endorsement YesOther Endorsement NoEmployment / UnemploymentB&B Transport Inc.Company B&B Transport Inc.Start Date 02-2022End Date 05-2022Address 2819 S Chestnut AveCity, State/Province Zip/Postal Fresno, CA 93725Country United StatesPhone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Lack of home time always lateWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor Yesvehicle?Were you subject to the Federal Motor YesCarrier or Transport Canada Safety4Regulations while employed/contracted bythis employer/contractor?Did you perform any safety sensitive Yesfunctions in this job, regulated by DOT,and subject to drug and alcohol testing?Areas Driven CA, OK, TX, MO, ILMiles driven weekly 2000-2500Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer Reefer TrailerTrailer length 53 feet or moreUnemploymentStart Date 01-2022End Date 01-2022Comment I resigned from Guaranteed TransportServices, Inc.Guaranteed Transport Service, LLC.Company Guaranteed Transport Service, LLC.Start Date 11-2020End Date 12-2021Address 7400 SR 544City, State/Province Zip/Postal Winter Haven, FL 33881Country United StatesPhoneFax PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Resigned over requested to drive unsafetruckWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor Yesvehicle?Were you subject to the Federal Motor YesCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?5Did you perform any safety sensitive Yesfunctions in this job, regulated by DOT,and subject to drug and alcohol testing?Areas Driven CA TX MO IL WI NM AZ OKMiles driven weekly 2500-3000Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer Tank TrailerTrailer length 53 feet or moreUnemploymentStart Date 09-2019End Date 10-2020Comment Fiance had major knee surgery, I stayedhome to take care of her.PTLCompany PTLStart Date 08-2018End Date 08-2019AddressCity, State/Province Zip/Postal Murray, Ky, TX 42071Country United StatesPhone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? My fiance had knee surgeryWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor Yesvehicle?Were you subject to the Federal Motor YesCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?Did you perform any safety sensitive Yesfunctions in this job, regulated by DOT,and subject to drug and alcohol testing?Areas Driven6Miles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreUnemploymentStart Date 10-2016End Date 02-2018Comment I was assisting my father he is paralyzedUber / LYFTCompany Uber / LYFTStart Date 03-2016End Date 09-2016AddressCity, State/Province Zip/Postal Dallas, TX 75202Country United StatesPhone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Obtained CDL -AWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor Novehicle?Were you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?Did you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?Areas DrivenMiles driven weeklyPay Range (cents/mile)Most common truck drivenMost common trailer7Trailer lengthUnemploymentStart Date 07-2014End Date 02-2016Comment After selling my medallion, I wanted todirect my full attention to possible businessopportunities to invest in, this includes mytime in India. Upon returning to America Idecided to pursue a job I would enjoyworking.Abcor Home HealthCompany Abcor Home HealthStart Date 09-2012End Date 06-2014AddressCity, State/Province Zip/Postal Chicago, IL 60642Country United StatesPhone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Preparing to go to IndiaWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor Novehicle?Were you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?Did you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?Areas DrivenMiles driven weeklyPay Range (cents/mile)Most common truck drivenMost common trailerTrailer length8City Service Cab CoCompany City Service Cab CoStart Date 02-2006End Date 09-2012AddressCity, State/Province Zip/Postal Chicago, IL 60659Country United StatesPhone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? sold MedallionWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor Novehicle?Were you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?Did you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?Areas DrivenMiles driven weeklyPay Range (cents/mile)Most common truck drivenMost common trailerTrailer lengthTrucking SchoolStart Date 03-2018End Date 08-2018School CR England PremierAddressAddress 29City, State/Province Salt Lake City, UTCountry United StatesPhone PHONE NUMBER AVAILABLEDid you graduate? YesWere you subject to the Federal Motor YesCarrier or Transport Canada SafetyRegulations while attending this truckschool?Did you perform any safety sensitive Yesfunctions at this truck school, regulated byDOT, and subject to drug and alcoholtesting?GPA PASSHours of Instruction 180Border Crossing NoLog Books YesFederal Motor Carrier Regulations YesHazardous Materials NoEducationSchool Name Networking ITStart Date 12-2019End Date 06-2021City, State/Province Chicago, ILCountry USWhat did you study? NetworkingPhone PHONE NUMBER AVAILABLEGraduation Date 06-2021Motor Vehicle Record1. Has any license, permit or privilege ever Nobeen denied, suspended or revoked forany reason?2. Have you ever been convicted of driving Noduring license suspension or revocation, ordriving without a valid license or an expiredlicense, or are any charges pending?No103. Have you ever been convicted for anyalcohol or controlled substance relatedoffense while operating a motor vehicle, orare any charges pending?4. Have you ever been convicted for Nopossession, sale or transfer of an illegalsubstance (including but not limited to,marijuana, amphetamines, or derivativesthereof) while on duty, or are any chargespending?5. Have you ever been convicted of Noreckless driving, careless driving orcareless operation of a motor vehicle, orare any charges pending?6. Have you ever tested positive, or Norefused to test on a pre-employment drugor alcohol test by an employer to whomyou applied, but did not obtainsafety-sensitive transportation workcovered by DOT agency drug and alcoholtesting rules in past three years, or haveyou ever tested positive or refused to teston any DOT-mandated drug or alcoholtest?Vehicle Accident RecordWere you involved in any accidents/incidents with any vehicle in the last 3 years (evenif not at fault)?No AccidentsTraffic Convictions \ ViolationsHave you had any moving violations or traffic convictions in the past 3 years?No ViolationsCriminal RecordHave you ever been convicted of a crime? NoDo you have any deferred prosecutions? NoDo you have criminal charges pending? NoHave you ever pled "guilty" to, been Noconvicted of, or pled "no contest" to afelony?11If you have any felony convictions, do you Nocurrently hold a minister's permit to enteror exit Canada?Have you, within the last five years, pled No"guilty" to, been convicted of, hadprosecution deferred in connection with, orpled "no contest" to a misdemeanor?SignatureFull Name Iftekhar Ahmed KhanIP Address 98.6.104.21Signature Date/Time 05-13-2022 2:42 PMBy signing my application below, I agree to use an electronic signature to demonstratemy consent. An electronic signature is as legally binding as an ink signature.This certifies that this application was completed by me, and that allentries on it and information in it are true and complete to the best ofmy knowledge.Signed Date: 05-13-2022 2:42 PMSigned:Federal FCRA Summary of Rights AcknowledgmentBy checking this box, I (a) acknowledge Yesthat I have read and understand thefederal FCRA Summary of Rights andhave been given the opportunity tocopy/print the Summary of Rights and (b)agree to use an electronic signature todemonstrate my consent. An electronicsignature is as legally binding as an inksignature.PSP Disclosure and AuthorizationBy checking the box, I (a) acknowledge Yesthat I have read and understand the PSPDisclosure and Authorization and alsohave been given the opportunity tocopy/print it, and (b) agree to use anelectronic signature to demonstrate my12consent. An electronic signature is aslegally binding as an ink signature.FCRA Disclosure and AuthorizationBy checking the box, I (a) acknowledge Yesthat I have read and understand the aboveand also have been given the opportunityto copy/print it, and (b) agree to use anelectronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.Employment Verification Acknowledgment and Release (DOT Drug and Alcohol)By checking the box, I (a) acknowledge Yesthat I have read and understand the aboveand also have been given the opportunityto copy/print it, and (b) agree to use anelectronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.Clearinghouse ReleaseBy checking the box, I (a) acknowledge Yesthat I have read and understand the aboveand also have been given the opportunityto copy/print it, and (b) agree to use anelectronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.User Requested CopyUser requested a copy to be sent to this Yesemail address android5141@gmail.com.13DISCLOSURE AND RELEASEIn connection with your employment or application for employment (including contract for services) through R E Garrison Trucking, Inc. andsubsidiaries or entities, consumer reports (Investigative Consumer Reports in California) may be requested from HireRight (formerly USIS CommercialServices). These reports may include the following types of information: names and dates of previous employers, reasons for termination ofemployment, work experience, accidents, academic history, professional credentials and drug/alcohol use. Such reports may contain public recordinformation concerning your driving record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state andother agencies that maintain such records; as well as information from HireRight concerning previous driving record requests made by others fromsuch state agencies and state provided driving records.We also will obtain driving/accident and safety inspection history records maintained by the Federal Motor Carrier Safety Administration ("FMCSA").You have the right to make a request to HireRight, upon proper identification, to request the nature and substance of all information in its files on you atthe time of your request, including the explaining of any coded information, the sources of information and the recipients of any reports on you thatHireRight has previously furnished within the past two year period preceding your request (3 years in California). HireRight may be contacted by mail atP.O. Box 33181, Tulsa, OK 74153 or by telephone at PHONE NUMBER AVAILABLE You may also bring a third party with you to view the information at the HireRightoffices if this person provides proper identification. Information about HireRight's privacy practices is available atwww.hireright.com/Privacy-Policy.aspx.I AUTHORIZE, WITHOUT RESERVATION, HIRERIGHT, FMCSA AND ANY OTHER PARTY OR AGENCY CONTACTED BY HIRERIGHT TOFURNISH THE ABOVE MENTIONED INFORMATION. THIS AUTHORIZATION DOES NOT APPLY TO DRUG AND ALCOHOL INFORMATIONCONTAINED UNDER PART I.I hereby consent to your obtaining the above information from HireRight, and I agree that such information which HireRight has or obtains in myemployment history (not DOT drug and alcohol information without a specific consent by me) with you if I am hired, will be supplied by HireRight toother companies which subscribe to HireRight. I hereby authorize procurement of consumer reports as set forth above.If hired or contracted, this authorization for reports covered by this release only shall remain on file and shall serve as an ongoing authorization for youto procure consumer reports at any time during my employment or contract period.I consent to you obtaining the above information from FMCSA. I understand that the FMCSA maintains sole control over that data and you cannotchange or alter such information. If I dispute any information maintained by FMCSA, I must personally contact the FMCSA by accessing the DataQsSystem at: https://dataqs.fmcsa.dot.gov.Printed Name: Iftekhar Ahmed KhanIftekhar Ahmed Khan 1605 Marsh LnUnit 401Social Security #: Carrollton, TX 750064551 PHONE NUMBER AVAILABLESigned Date: 05-13-2022 Gender:14IMPORTANT DISCLOSUREREGARDING BACKGROUND REPORTS FROM THE PSP Online ServiceIn connection with your application for employment with R E Garrison Trucking, Inc. ("Prospective Employer"), Prospective Employer, its employees,agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier SafetyAdministration (FMCSA).When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision tonot hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the reportupon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. Ifany final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the actionhas been taken and that the action was based in part or in whole on this report.When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses anyinformation it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the ProspectiveEmployer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has beentaken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that theFMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; andthat you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness ofany information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business daysof receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and asummary of your rights under the Fair Credit Reporting Act.Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety datathat appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challengecrash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs systemto the appropriate State for adjudication.Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, itwill include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA,regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor CarrierSafety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.The Prospective Employer cannot obtain background reports from FMCSA without your authorization.AUTHORIZATIONIf you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:I authorize R E Garrison Trucking, Inc. ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seekinformation regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizingthe release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3)years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding mysuitability as an employee.I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability tocorrect any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request tohttps://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Iunderstand my request will be forwarded by the DataQs system to the appropriate State for adjudication.I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, orimply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA,regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated withFMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure15Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, ProspectiveEmployer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents,and/or affiliates to obtain the information authorized above.Printed Name:Iftekhar Ahmed KhanSigned Date: 05-13-202216Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA)Drug and Alcohol ClearinghouseI hereby provide consent to R E Garrison Trucking, Inc. to conduct a limited query of the FMCSA Commercial Driver's License Drugand Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. Iunderstand this consent shall remain on file and shall serve as ongoing consent for R E Garrison Trucking, Inc. to conduct multiplelimited queries of the Clearinghouse at any time during my employment or contract period without asking me for additional consent.I understand that if I refuse to provide consent for R E Garrison Trucking, Inc. to conduct a limited query of the Clearinghouse, R EGarrison Trucking, Inc. is required to prohibit me from performing safety-sensitive functions, including operating a commercial motorvehicle.I understand that if the limited query conducted by R E Garrison Trucking, Inc. indicates that drug or alcohol information exists aboutme in the Clearinghouse, the FMCSA will not disclose that information to R E Garrison Trucking, Inc. unless I give additional specificconsent within the Clearinghouse. However, I understand that R E Garrison Trucking, Inc. will be required to conduct a full query ofthe Clearinghouse within 24 hours after a limited query indicates that drug or alcohol information exists and that if I do not grantconsent within the Clearinghouse for that full query I will be removed from performing safety-sensitive functions, including operating acommercial motor vehicle.05-13-2022Iftekhar Ahmed Khan Date17Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances TestingRecordsAnd changes in Parts 390 and 391 of the FMCSAX 05-13-2022 X 4551 Iftekhar Ahmed Khan1605 Marsh LnDate Social Security NumberUnit 401Carrollton, TX 75006PHONE NUMBER AVAILABLEGender:X Iftekhar Ahmed Khan XPrint Name (First, MI, Last) SignatureI, the above mentioned signer, hereby authorize B&B Transport Inc.To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substancestesting/training records to R E Garrison Trucking, Inc.DISCLOSURE AND RELEASEIn accordance with DOT Regulation 49 CFR Part 391.23, I authorize the release of information from my DOT regulated drug andalcohol testing records by the carriers (company/school) listed above to R E Garrison Trucking and subsidiaries or entities, Inc., or toHireRight for the sole purpose of transmitting such records to R E Garrison Trucking, Inc. and subsidiaries or entities. I authorizerelease of the following information concerning DOT drug and alcohol testing violations including pre-employment tests during the pastthree years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested (including verifiedadulterated or substituted results); (iv) other violations of DOT drug and alcohol testing regulations; (v) information obtained fromprevious employers of a drug and alcohol rule violation(s); and (vi) documents, if any, of completion of a return-to-duty processfollowing a rule violation. I also authorize the carriers (company/school) listed above to release information about names and dates ofprevious employers, reasons for termination of employment, work experience, accidents, academic history, professional credentialsand other information.The information that I have authorized R E Garrison Trucking, Inc. and subsidiaries or entities or HireRight to review involves testsrequired by DOT. If any carrier (company/school) listed above furnishes R E Garrison Trucking, Inc. and subsidiaries or entities orHireRight with information concerning items (i) through (vi) above, I also authorize that carrier (company/school) to release and furnishthe dates of my negative drug and/or alcohol tests and/or tests with results below 0.04 during the three-year period and the name andphone number of any substance abuse professional who evaluated me during the past three years.18Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances TestingRecordsAnd changes in Parts 390 and 391 of the FMCSAX 05-13-2022 X 4551 Iftekhar Ahmed Khan1605 Marsh LnDate Social Security NumberUnit 401Carrollton, TX 75006PHONE NUMBER AVAILABLEGender:X Iftekhar Ahmed Khan XPrint Name (First, MI, Last) SignatureI, the above mentioned signer, hereby authorize Guaranteed Transport Service, LLC.To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substancestesting/training records to R E Garrison Trucking, Inc.DISCLOSURE AND RELEASEIn accordance with DOT Regulation 49 CFR Part 391.23, I authorize the release of information from my DOT regulated drug andalcohol testing records by the carriers (company/school) listed above to R E Garrison Trucking and subsidiaries or entities, Inc., or toHireRight for the sole purpose of transmitting such records to R E Garrison Trucking, Inc. and subsidiaries or entities. I authorizerelease of the following information concerning DOT drug and alcohol testing violations including pre-employment tests during the pastthree years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested (including verifiedadulterated or substituted results); (iv) other violations of DOT drug and |
