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Click here or scroll down to respond to this candidateCandidate's Name
Street Address E Evergreen StreetSpringfield, MO Street Address
PHONE NUMBER AVAILABLEStreet Address -07-2021 7:15:22AM CSTIntelliAppThank you for your interest in:Candidate's Name
3769 E Evergreen StreetSpringfield, MO 65803PHONE NUMBER AVAILABLEMarket Transport LtdDBA: Candidate's Name Inc110 N. Marine DrPortland, OR 97217PHONE NUMBER AVAILABLETo 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: wl / cpc / ~lsrfacebook ~lmdonlinead /~lcpwl-cdlstudentconversion-fb / ~ladi~ltr7~lcalm~latvideo Name Charles A BanksResidence 3 years or longer (If No,previous addresses shown below)YesCurrent Address 24 Garden Drive Apt 104Address 2 Apt 104City, State/Province Zip/Postal Martinsburg, WV 25404 Country United StatesResidence 3 years or longer (If No,previous addresses shown below)YesSSN/SIN 2472Date of BirthPrimary Phone PHONE NUMBER AVAILABLECell Phone PHONE NUMBER AVAILABLEPreferred method of contact Cell PhoneBest time to contact you AnyEmail EMAIL AVAILABLEHow did you hear about us? Internet - Allie Knight - Youtube 1Yes, I agree to receive informationconcerning future opportunities orpromotions from Candidate's Name by emailor 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 WilsonLogistics's service provider receives in realtime and logs your text messages withCandidate's Name .YesCompany QuestionsGENERAL INFORMATIONRecruiter Routing- HIDDEN CQHIDDEN CQ: WorklistHIDDEN CQ: Lead DataHidden CQ: Recruiting PodHave you spoken with a Candidate's Name
recruiter?NoSelect the recruiter.What position are you applying for? Company Driver If you are running a team, enter your teammember's name:NaAre you legally eligible for employment inthe United States?YesDo you read, write, and speak English? YesHave you ever worked for Candidate's Name
before?NoEnter start and end dates, location,position, and reason for leaving:Do you have a current TWIC card? NoExpiration date:Have you ever been known by any othername?No2Enter name:Were you referred by a current WilsonLogistics driver?NoEnter name:In case of Emergency, notify:First name: Unilateral StarkesLast name: BanksPhone Number: PHONE NUMBER AVAILABLERelationship: WifeDRIVING EXPERIENCEDo you have experience as a commercialtruck driver?YesHow many years? 1-3Do you have Van experience? YesDo you have Reefer experience? YesDo you have recent heavy haul experiencewith 53-foot trailers?YesDo you have experience with a Drop AxleTractor (3 or 4 axle)?NoDo you have experience with a Drop AxleTrailer (3 or 4 axle)?NoNON-RELATED PERSONAL REFERENCESFirst ReferenceFirst name: MitchellLast Name: RobinsonPhone Number: PHONE NUMBER AVAILABLERelationship: PastorSecond ReferenceFirst Name: BradleyLast Name: DovesPhone Number: PHONE NUMBER AVAILABLERelationship: Assn pastor3LicensesLicense Number 845State/Province WVCountry United StatesLicense Class Class ALicense Expiration Date 08-28-2024Physical Expiration Date 09-23-2021Current License YesCommercial Driver License YesEndorsementsTanker Endorsement NoHAZMAT Endorsement NoX Endorsement NoDoubles Triples Endorsement NoOther Endorsement YesEmployment / UnemploymentUnemploymentStart Date 03-2021End Date 03-2021Comment Laid off since pandemicUnemploymentStart Date 02-2021End Date 02-2021Comment still unemployedUnemploymentStart Date 12-2020End Date 01-2021Comment job endedLenox distribution cyrCompany Lenox distribution cyrStart Date 06-2019End Date 11-2020Address 108378 oak ridge drive4City, State/Province Zip/Postal Hagerstown, MD 21742 Country United StatesPhone PHONE NUMBER AVAILABLEPosition Held OperatorReason for leaving? Lay offWere you terminated/discharged/laid off? YesTermination Explanation PandemicIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?NoWere 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 subject to drug andalcohol testing?Areas DrivenMiles driven weeklyMost common truck drivenMost common trailerTrailer lengthBH Trans INCCompany BH Trans INCStart Date 02-2019End Date 05-2019Address 1425 W. Ray StreetCity, State/Province Zip/Postal Indianapolis, IN 46221 Country United StatesPhone PHONE NUMBER AVAILABLEPosition Held driverReason for leaving? no milesWere you terminated/discharged/laid off? NoIs this your current employer? NoYes5May 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?YesAreas Driven otrMiles driven weeklyMost common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreWestern ExpressCompany Western ExpressStart Date 12-2018End Date 01-2019Address 2925 schronersville rdCity, State/Province Zip/Postal Bethlehem, PACountry United StatesPhone PHONE NUMBER AVAILABLEPosition Held Company driverReason for leaving? Better payWere 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?Yes6Areas Driven OtrMiles driven weekly 2000-2500Most common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreWestern ExpressCompany Western ExpressStart Date 05-2018End Date 11-2018Address N/aCity, State/Province Zip/Postal Nashville, TNCountry United StatesPhone PHONE NUMBER AVAILABLEPosition Held lease driverReason for leaving? went to co.Were 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?YesAreas Driven OtrMiles driven weekly 2000-2500Most common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreSchilli Specialized FlatbedsCompany Schilli Specialized FlatbedsStart Date 02-2018End Date 04-20187Address 6358 US 24 WCity, State/Province Zip/Postal Remington, IN 47977 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Company driverReason 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?YesAreas Driven OtrMiles driven weekly 2000-2500Most common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreVanwyk truckingCompany Vanwyk truckingStart Date 05-2017End Date 01-2018Address 200 w 12th StCity, State/Province Zip/Postal Waynesboro, VA 22934 Country United StatesPhonePosition Held Company driverReason for leaving? Better payWere you terminated/discharged/laid off? NoIs this your current employer? No8May 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?YesAreas Driven OtrMiles driven weekly 2500-3000Most common truck driven Tractor-TrailerMost common trailer Reefer TrailerTrailer length 53 feet or moreDMBowmanCompany DMBowmanStart Date 11-2016End Date 04-2017Address Governor laneCity, State/Province Zip/Postal Williamsport, MD 21743 Country United StatesPhonePosition Held Company driverReason for leaving? Change jobWere 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?Yes9Areas Driven OtrMiles driven weekly 2500-3000Most common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreCeladon Trucking ServicesCompany Celadon Trucking ServicesStart Date 09-2016End Date 10-2016Address 9503 E 33rd StreetCity, State/Province Zip/Postal Indianapolis, IN 46235 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held 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 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?YesAreas Driven otrMiles driven weeklyMost common truck driven Tractor-TrailerMost common trailer Reefer TrailerTrailer length 53 feet or moreQuad graphicsCompany Quad graphicsStart Date 10-201510End Date 07-2016Address 100 n Miller's stCity, State/Province Zip/Postal Fairfield, PACountry United StatesPhone PHONE NUMBER AVAILABLEPosition Held Machine operatorReason for leaving? Change careerWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?NoWere 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 weeklyMost common truck drivenMost common trailerTrailer lengthUnemploymentStart Date 04-2015End Date 10-2015Comment Looking for workAeroteckCompany AeroteckStart Date 01-2015End Date 04-2015AddressCity, State/Province Zip/Postal Hagerstown, MDCountry United StatesPhone11Position Held PickerReason for leaving? Assignment EndedWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?NoWere 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 weeklyMost common truck drivenMost common trailerTrailer lengthAxiom StaffingCompany Axiom StaffingStart Date 11-2013End Date 01-2015Address 2715 Ramsey RdCity, State/Province Zip/Postal Gainesville, GA 30501 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Temp AgencyReason for leaving? Assignment EndedWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?No12Were 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 weeklyMost common truck drivenMost common trailerTrailer lengthManPower StaffingCompany ManPower StaffingStart Date 08-2012End Date 11-2013AddressCity, State/Province Zip/Postal Hagerstown, MDCountry United StatesPhonePosition Held Temp AgencyReason for leaving? Assignment EndedWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?NoWere 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 weeklyMost common truck drivenMost common trailer13Trailer lengthCharleston Country SchoolsCompany Charleston Country SchoolsStart Date 09-2010End Date 08-2012AddressCity, State/Province Zip/Postal Charleston County, SC Country United StatesPhonePosition Held Janitor for School SystemReason for leaving? Moved to MarylandWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?NoWere 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 weeklyMost common truck drivenMost common trailerTrailer lengthDorchester County SchoolsCompany Dorchester County SchoolsStart Date 04-2008End Date 09-2010AddressCity, State/Province Zip/Postal Dorchester County, SC Country United StatesPhone14Position Held Janitor for School SystemReason for leaving? MovedWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?NoWere 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 weeklyMost common truck drivenMost common trailerTrailer lengthU.S. MilitaryBranch of Service Army National GuardStart Date 10-1987End Date 06-1995Can you obtain your DD214? YesRank at discharge E3Trucking SchoolStart Date 06-2016End Date 08-2016School Celadon Driving AcademyCity, State/Province Indianapolis, INCountry United StatesPhoneDid you graduate? Yes15Were you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while attending this truckschool?YesDid you perform any safety sensitivefunctions at this truck school, regulated byDOT, and subject to drug and alcoholtesting?YesGPAHours of Instruction 160Border Crossing YesLog Books YesFederal Motor Carrier Regulations YesHazardous Materials YesFMCSRUnder 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 ActregulationsNo16Driving a commercial motor vehicleunder the influence of any 21C.F.R. 1308.11 Schedule Iidentified controlled substance, anamphetamine, 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)?Type of Accident / Incident Non-InjuryDate of Accident / Incident 09-2012Hazmat Accident / Incident NoWas the vehicle towed away? NoCity HagerstownState/Province MDWere you in a commercial vehicle? NoIf yes, was this a Department ofTransportation recordable accident?Were you at fault? YesWere you ticketed? YesDescription Failure to stop at stopped traffic17Traffic Convictions \ ViolationsHave you had any moving violations or traffic convictions in the past 3 years? Violation Date 08-2018Charge / Description OtherViolation State/Province VAIn Commercial Vehicle YesFined? YesLicense Suspended?License Revoked?Perform Community Service?Other Penalty?Fine Amount (if any): $500+Comments: Citation for being in the wrong toll lane,and driving while disqualified to drive throughVASignatureFull Name Charles A BanksIP Address 2601:140:40c:343Signature Date/Time 03-07-2021 7:15 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: 03-07-2021 7:15 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 inkYes18signature.PSP 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 anelectronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.YesFCRA 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 opportunityYes19to copy/print it, and (b) agree to use anelectronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.Summary 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 DISCLOSUREBy checking this box, I represent that Iunderstand and agree to the aboveInvestigative Consumer ReportDisclosure.YesUser Requested CopyUser requested a copy to be sent to thisemail addresscharlesbanks904@gmail.com.Yes20DISCLOSURE FOR CONSUMER REPORTSIn connection with your employment or owner-operator (independent contractor) application, Candidate's Name WT 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, former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:Charles A BanksSocial Security #:2472Signed Date: 03-07-2021Charles A Banks24 Garden Drive Apt 104Apt 104Martinsburg, WV 25404PHONE NUMBER AVAILABLEGender:21AUTHORIZATION FOR CONSUMER REPORTSI authorize Candidate's Name WT 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:Charles A BanksSocial Security #:2472Signed Date: 03-07-2021Charles A Banks24 Garden Drive Apt 104Apt 104Martinsburg, WV 25404PHONE NUMBER AVAILABLEGender:22IMPORTANT DISCLOSUREREGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Jim Palmer Trucking, Wil-Trans, O&S Trucking, and their partners, agents or affiliates("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 Jim Palmer Trucking, Wil-Trans, O&S Trucking, and their partners, agents or affiliates ("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 |
