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Click here or scroll down to respond to this candidateCandidate's Name
Street Address StephensWarren, MI Street Address
PHONE NUMBER AVAILABLEStreet Address -29-2023 8:48:25AM CDTIntelliAppThank you for your interest in Candidate's Name . To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted. In compliance with Federal and State equal employment opportunity laws, qualified applicants 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 other protected group status.Personal InformationReferral Code: PapkeName Corey Anthony EdwardsResidence 5 years or longer (If No,previous addresses shown below)YesCurrent Address 717 Plymouth DrCity, State/Province Zip/Postal Laplace, LA 70068Country United StatesResidence 10 years or longer (If No,previous addresses shown below)YesSSN/SIN 1625Date of BirthPrimary Phone PHONE NUMBER AVAILABLECell Phone PHONE NUMBER AVAILABLEEmail EMAIL AVAILABLEYes, I agree to receive informationconcerning future opportunities orpromotions from Candidate's Name byemail or other commercial electroniccommunications.YesWould you like to receive communicationfrom Candidate's Name via text message?By participating, you consent to receivetext messages sent by an automatictelephone 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 CentralYes1Transport's service provider receives inreal time and logs your text messages withCandidate's Name .Company QuestionsEMPLOYMENT DESIREDAvailable Start Date? 11-01-2023Work Interest Full TimeWhat position are you applying for? Local Road Driver (Night Shift) What location are you applying for? CA - OaklandGENERAL INFORMATIONDo you have the legal right to work in theUnited States?YesDo you now, or will you in the future,require employer visa sponsorship? (Alloffers of employment are contingent uponverification of employment eligibility underthe provisions of the Immigration Reformand Control Act of 1986, as amended.)"NoHave you ever been known by any othername?NoEnter Name:Have you ever applied or worked for thiscompany before?NoIf applicable list date of application or enterstart and end dates, location, position, andreason for leaving for service period:Please enter the names of any relativesemployed here:N/AHow did you hear about us? IndeedIf you selected Employee Referral, pleaselist their name.N/ADRIVING EXPERIENCECan you operate a manual transmission? YesDo you have any experience operating aforklift?YesFor each class of equipment, enter type of equipment (van, reefer, tank, etc.), start and end dates, and approximate number of total miles. If no experience in a class, enter"NONE".Straight Truck None2Tractor and Semi-Trailer NoneTractor - Two Trailers Dryvan, Tanker, Flatbed6-2021/ PresentOther: NoneWhich safe driving awards do you hold andfrom whom?N/AEDUCATIONList highest grade completed: Grade 12Emergency ContactPlease list name and number Tangela EdwardsPHONE NUMBER AVAILABLEReferencesFirst Reference Name : Terrell EdwardsFirst Reference Phone Number : 504-329-9319First Reference Relationship : BrotherSecond Reference Name : Jude VaughnSecond Reference Phone Number : 972-697-9994Second Reference Relationship : FriendThird Reference Name : Lyonel JordanThird Reference Phone Number : 504-338-3065Third Reference Relationship : FriendLicensesLicense Number 689Licensing Authority LACountry USLicense Class Class ALicense Expiration Date 12-16-2028Physical Expiration Date 03-11-2023Current License YesCommercial Driver License YesEndorsementsTanker Endorsement YesHAZMAT Endorsement No3X Endorsement YesDoubles Triples Endorsement YesOther Endorsement NoEmployment / UnemploymentZachry Construction CorporationCompany Zachry Construction CorporationStart Date 04-2023End Date 09-2023Address 12625 Wetmore Rd., Suite 301City, State/Province Zip/Postal San Antonio, TX 78247 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Truck DriverReason for leaving? RelocateWere you terminated/discharged/laid off? NoIs this your current employer? YesMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weekly 1000-1500Pay Range (cents/mile) 29.50Most common truck driven Tractor-TrailerMost common trailer FlatbedTrailer length 45 to 52 feetPigeon Freight ServicesCompany Pigeon Freight Services4Start Date 02-2023End Date 03-2023Address 16830 Chicago AveCity, State/Province Zip/Postal Lansing, IL 60438Country United StatesPhone PHONE NUMBER AVAILABLEPosition Held OTR Truck DriverReason for leaving? N/AWere you terminated/discharged/laid off? NoIs this your current employer? YesMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weekly 2500-3000Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreUnemploymentStart Date 01-2023End Date 01-2023CommentFCZ TransportationCompany FCZ TransportationStart Date 07-2021End Date 12-2022AddressCity, State/Province Zip/Postal El Cajon, CA 92020 Country United States5Phone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Better PayWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weekly 3000-3500Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreEntertainer PartnersCompany Entertainer PartnersStart Date 01-2018End Date 07-2021AddressCity, State/Province Zip/Postal Burbank, CA 91505Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Laid offWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor Yes6vehicle?Were you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weekly 500-1000Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreCBSL Transportation Services, Inc.Company CBSL Transportation Services, Inc.Start Date 10-2017End Date 01-2018AddressCity, State/Province Zip/Postal Chicago, IL 70084Country United StatesPhone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Better OpportunityWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-Trailer7Most common trailer Tank TrailerTrailer length 53 feet or moreTriple G ExpressCompany Triple G ExpressStart Date 08-2017End Date 10-2017AddressCity, State/Province Zip/Postal Jefferson, LA 70121 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Better opportunityWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer Tank TrailerTrailer length 45 to 52 feetFORT TRANSFER COCompany FORT TRANSFER COStart Date 02-2017End Date 08-2017Address 225 S Maple StCity, State/Province Zip/Postal Morton, IL 615508Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Bulk Tank Driver (OTR)Reason for leaving? Better OpportunityWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weekly 1500-2000Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer Tank TrailerTrailer length 45 to 52 feetMartin Transport Inc (DOT)Company Martin Transport Inc (DOT)Start Date 12-2016End Date 03-2017Address PO Box 191City, State/Province Zip/Postal Kilgore, TX 75663Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Bulk Tank DriverReason for leaving? Better OpportunityWere you terminated/discharged/laid off? NoIs this your current employer? NoYes9May we contact this employer at this time?Did you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weekly 1500-2000Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer Tank TrailerTrailer length 45 to 52 feetEntertainment PartnersCompany Entertainment PartnersStart Date 11-2014End Date 12-2016AddressCity, State/Province Zip/Postal Burbank, CA 91505 Country United StatesPhone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Laid OffWere you terminated/discharged/laid off? YesTermination Explanation Company lost contract with state. Is this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,Yes10and subject to drug and alcohol testing?Miles driven weeklyPay Range (cents/mile)Most common truck driven Tandem-Axle Flatbed Tractor Most common trailer VanTrailer length 53 feet or moreEs&hCompany Es&hStart Date 07-2013End Date 11-2014Address 1085 Bert StCity, State/Province Zip/Postal La Place, LA 70068 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Tanker DriverReason for leaving? Better OpportunityWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weekly 1500-2000Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer Tank TrailerTrailer length 45 to 52 feetA3M Vacuum Services, LLACompany A3M Vacuum Services, LLA11Start Date 11-2012End Date 07-2013Address 3270 W Airline HwyCity, State/Province Zip/Postal Reserve, LA 70084Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Tanker DriverReason for leaving? Laid offWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weekly 1000-1500Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer Tank TrailerTrailer length 45 to 52 feetSiarcCompany SiarcStart Date 07-2006End Date 11-2012AddressCity, State/Province Zip/Postal Gramercy, LA 70052 Country United StatesPhone PHONE NUMBER AVAILABLEPosition HeldReason for leaving? Better Opportunity12Were you terminated/discharged/laid off? YesTermination Explanation Laid OffIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesMiles driven weeklyPay Range (cents/mile)Most common truck driven Tandem-Axle Flatbed Tractor Most common trailer Tank TrailerTrailer length 45 to 52 feetLafarge North America LaCompany Lafarge North America LaStart Date 02-2005End Date 10-2005Address 3320 Airline DrCity, State/Province Zip/Postal Metairie, LA 70001 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Bulk truck driverReason for leaving? QuitWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyYes13Regulations 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?YesMiles driven weekly 1000-1500Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer Tank TrailerTrailer length 45 to 52 feetFMCSRUnder FMCSR 391.15, are you currentlydisqualified from driving a commercialmotor vehicle? [49 CFR 391.15]NoHas your license, permit or privilege todrive ever been suspended or revoked forany reason? [49 CFR 391.21(b)(9)]NoHave you ever been denied a license,permit, or privilege to operate a motorvehicle?[49 CFR 391.21(b)(9)]NoWithin the past two years, have you testedpositive, or refused to test, on apre-employment drug or alcohol test by anemployer to whom you applied, but did notobtain, safety-sensitive transportation workcovered by DOT agency drug and alcoholtesting rules? [49 CFR 40.25(j)]NoIn the past three(3) years, have you everbeen convicted of any of the followingoffenses: [49 CFR 391.15]:Driving a commercial motor vehiclewith a blood alcohol concentration("BAC") of .04 percent or moreDriving under the influence ofalcohol, as prescribed by state lawRefusal to undergo drug andalcohol testing as required by anyjurisdiction for the enforcement ofFederal Motor Carrier Safety ActregulationsDriving a commercial motor vehicleunder the influence of any 21C.F.R. 1308.11 Schedule Iidentified controlled substance, anNo14amphetamine, a narcotic drug, aformulation of an amphetamine, ora derivative of a narcotic drugTransportation, possession, orunlawful use of a 21 C.F.R.1308.11 Schedule I identifiedcontrolled substance,amphetamines, narcotic drugs,formulations of an amphetamine, orderivatives of narcotic drugs whileyou were on duty driving for amotor carrierLeaving the scene of an accidentwhile operating a commercial motorvehicleOr any other felony involving theuse of a commercial motor vehicleVehicle Accident RecordWere you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?No AccidentsTraffic Convictions \ ViolationsHave you had any moving violations or traffic convictions in the past 5 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, beenconvicted of, or pled "no contest" to afelony?NoIf you have any felony convictions, do youcurrently hold a minister's permit to enteror exit Canada?NoHave you, within the last five years, pled"guilty" to, been convicted of, hadprosecution deferred in connection with, orpled "no contest" to a misdemeanor?No15SignatureFull Name Corey Anthony EdwardsIP Address 2600:100d:b16d:8Signature Date/Time 09-29-2023 8:48 AMBy signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.Signed Date: 09-29-2023 8:48 AMSigned:Federal FCRA Summary of Rights AcknowledgmentBy checking this box, I (a) acknowledgethat 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.YesPSP Disclosure and AuthorizationBy checking the box, I (a) acknowledgethat 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 myconsent. An electronic signature is aslegally binding as an ink signature.YesFCRA DisclosureBy checking the box, I (a) acknowledgethat I have read and understand the aboveand also have been given the opportunityto copy/print it, and (b) agree to use anYes16electronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.FCRA AuthorizationBy checking the box, I (a) acknowledgethat 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.YesEmployment Verification Acknowledgment and Release (DOT Drug and Alcohol) By checking the box, I (a) acknowledgethat 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.YesClearinghouse ReleaseBy checking the box, I (a) acknowledgethat 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.YesSummary of Rights Under 15 U.S.C. Section 1681m(a) By checking the box, I (a) acknowledgethat I have read and understand theSummary of Rights Under 15 U.S.C.Section 1681m(a) and have been giventhe opportunity to copy/print the 1681mSummary of Rights and (b) agree to usean electronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.YesINVESTIGATIVE CONSUMER REPORT DISCLOSURE17By checking this box, I represent that Iunderstand and agree to the aboveInvestigative Consumer ReportDisclosure.YesCONDITION OF EMPLOYMENTThe foregoing has been read and agreedto:YesUser Requested CopyUser requested a copy to be sent to thisemail address transport5316@gmail.com.Yes18DISCLOSURE FOR CONSUMER REPORTSIn connection with your employment or owner-operator (independent contractor) application, Candidate's Name may order one or more consumer report(s) (commonly known as "background reports" or "background checks") about you from one or more consumer reporting agencies. If you are hired or engaged as an owner-operator (independent contractor), additional consumer reports may be obtained in connection with and throughout your employment for employment purposes or for the legitimate business purpose of evaluating you as an owner-operator.To the extent allowed by law, the consumer reports may include information concerning your character, general reputation, personal characteristics, mode of living, drug and alcohol test results, motor vehicle records, driving records, criminal history, public court records, employment history (including names and dates of previous employers, reason for termination of employment, work experience, and accidents), social security number validation, education, licensure, or verification of other information supplied by you. Such reports may be obtained from private and public record sources, including sanctions databases, CDLIS (including but not limited to CDLIS Central Site, CDLIS Master Pointer Record data and your driver record from the jurisdiction identified in the CDLIS data, in accordance with applicable state law and the Driver Privacy Protection Act), former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:Corey Anthony EdwardsSocial Security #:1625Signed Date: 09-29-2023Corey Anthony Edwards717 Plymouth DrLaplace, LA 70068PHONE NUMBER AVAILABLEGender:19AUTHORIZATION FOR CONSUMER REPORTSI authorize Candidate's Name to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired or engaged as an owner-operator (independent contractor), I understand this authorization shall remain on file and shall serve as ongoing authorization for additional consumer reports or investigative consumer reports to be obtained from any consumer reporting agency at any time during my employment or contract period without asking me for authorization again. Printed Name:Corey Anthony EdwardsSocial Security #:1625Signed Date: 09-29-2023Corey Anthony Edwards717 Plymouth DrLaplace, LA 70068PHONE NUMBER AVAILABLEGender:20IMPORTANT DISCLOSUREREGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Candidate's Name ("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 Safety Administration(FMCSA).When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has 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 any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA 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; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary 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 data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to 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, it will 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 Carrier Safety 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 Candidate's Name ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the 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 my suitability as an employee.I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand 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, or imply 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 with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer 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:Corey Anthony EdwardsSigned Date: 09-29-202321Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol ClearinghouseI hereby provide consent to Central |
