Driver's Application for Employment

Experience and Qualifications — Driver

Driver Licenses

A. Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes No

B. Has any license, permit or privilege ever been suspended or revoked? Yes No

If the answer to either A or B is Yes, give details:

State License No.	Type	Expiration Date

Driving Experience — If None, Write None

Class of Equipment	Type of Equipment (Van, Tank, Flat, etc.)	From	To	Approx. No. of Miles (Total)
Straight Truck
Tractor and Semi-Trailer
Tractor — Two Trailers
Motorcoach / School Bus
Other

List States Operated in for Last Five Years:

Accident Record for Past 3 Years (If None, Write None)

Date	Nature of Accident (Head-on, Rear-end, Upset, etc.)	Fatalities	Injuries	Hazmat Spills

Traffic Convictions and Forfeitures for the Past 3 Years (Other Than Parking Violations — If None, Write None)

Location	Date	Charge	Penalty

Education

Last School Attended (Name)

City

Circle Highest Grade Completed: Elementary: 1 2 3 4 5 6 7 8 High School: 1 2 3 4 College: 1 2 3 4

Form 1-C Page 3 of 4

Experience and Qualifications — Other

Show any trucking, transportation or other experience that may help you work for this company:

List special equipment or technical materials you can work with (other than those already shown):

List courses and training other than shown elsewhere in this application:

To Be Read and Signed by Applicant

This certifies that this application was completed by me, and that all entries on it and information in it are true and completed to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from liability in responding to inquiries and releasing information in connection with my application. In the event that false or misleading information given in my application or interview, may result in discharge. I understand that I am required to abide by all rules and regulations of the Company.

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is "at will" — that is, it is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company's designated representative.

Date

Applicant's Signature

Form 1-C Page 4 of 4

Best Driver Solutions Inc

Alcohol and/or Drug Test Notification

PART 382 — Controlled Substances and Alcohol Use Testing applies to drivers of this company.

382.113 Requirement for notice. Before performing an alcohol or controlled substances test under this part, each Employer shall notify a driver that the alcohol or controlled substances test is required by this part. No Employer shall falsely represent that a test is administered under this part.

You are hereby notified the following test(s) will be administered in compliance with the Federal Motor Carrier Safety Regulations:

*Pre-Employment *Random *Post Accident/Injury *Return-to-Duty

Applicant Signature

Date

QDS Representative

Date

Sec. 40.25(j) As the Employer, you must also ask the employee whether he or she has tested positive, or refused to test on any pre-employment drug or alcohol test administered by an employer to which the employee applied for, but did not obtain safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years.

Previous Pre-Employment Employee Alcohol and Drug Test Statement

The applicant is required by Sec. 40.25(j) to respond to the following questions:

1) Have you tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years?

Yes No

2) If you answered yes, can you provide/obtain proof that you've successfully completed the DOT return-to-duty requirements?

Yes No

I certify that the information provided above is true and correct.

Applicant Signature

Date

Form 1-N

Best Driver Solutions Inc

Policy Statements

Release Consent of Information

I, , authorize Best Driver Solutions LLC, to make copies/distribute my complete Driver's Qualification File (D.Q.F), including Drug and Alcohol results to any client in connection with the driver lease contract. I agree to release all legal responsibility in accordance with Best Driver Solutions LLC, and its associates.

Applicant's Signature

Date

Rights to Review Information from Previous Employer

In accordance with section 391.23 of the Federal Motor Carrier Safety Regulations, you have the right to review information provided by previous employers. You have the right to have errors in the information corrected by the previous employer and for that previous employer to resend the corrected information. You have the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.

Applicant's Signature

Date

Fair Credit Reporting Act Disclosure Statement

In accordance with the provisions of Section 604 (b) (2) (A) of the Fair Credit Reporting Act, Public Law 91-508, as amended by the Consumer Credit Reporting Act of 1996, you are being informed that reports verifying your previous employment, previous drug and alcohol test results, and your driving record may be obtained on you for employment purposes. These reports are required by sections 382.413, 391.23, and 391.25 of the Federal Motor Carrier Safety Regulations.

Applicant's Signature

Date

Fair Credit Reporting Act Disclosure

I, , hereby certify that I have received a copy of the following Fair Credit Reporting documents:

Disclosure Regarding Background Investigation
A Summary of Your Rights under the Fair Credit Reporting Act.
A Summary of Your Rights under California Civil Code Section 1786.22 (CA Applicants Only).

Applicant's Signature

Date

Statement for Background Check

I hereby consent to Best Driver Solutions LLC (BDS) and its affiliates to independently research my character, background, education, and past employment. This includes contacting references, and records maintained by both private and public organizations. It may also include workers' compensation and insurance information. I release BDS and its agents from any legal responsibility, claims, or lawsuits relating to BDS examine and/or defend, indemnify and hold harmless BDS from any legal responsibility, claims, or lawsuits which may result, including investigating, or actions from BDS taken as a result of its study. I understand that failure to provide any prior employment I had within the last (10) ten years or to give false or misleading information, either on my application or this form, may be motive for termination.

Applicant's Signature

Date

Form 1-H

Previous Employer Alcohol & Drug Test Information

SECTION 1: TO BE COMPLETED BY PROSPECTIVE EMPLOYEE

Print Name (First, M.I., Last)

Social Security Number

Date of Birth

hereby authorizes:

Previous Employer Name

Email

Street Address

Telephone

City, State, Zip

Fax No.

to release and forward the information requested by Section 2 (below) of this document concerning my Alcohol and Controlled Substances Testing records within the previous 3 years from (Date of employment application) to:

Prospective Employer: Best Driver Solutions LLC
Attention: DOT Compliance Department
Telephone: (800) 981-5029
Confidential Fax: (800) 691-6731
Branch:

Applicant's Signature

Date

SECTION 2: TO BE COMPLETED BY PREVIOUS EMPLOYER

If driver was NOT subject to Department of Transportation testing requirements while employed by this employer, please check here.

If driver was subject to Department of Transportation testing requirements from to

Question	Yes	No	N/A
1. Has this person had an alcohol test with a result of 0.04 or higher alcohol concentration?
2. Has this person tested positive or adulterated or substituted a test specimen for controlled substances?
3. Has this person refused to submit to a post-accident, random, reasonable suspicion or follow-up alcohol or controlled substance test?
4. Has this person committed other violations of Subpart B of Part 382, or Part 40?
5. If this person has violated a DOT drug and alcohol regulation, did this person complete a SAP-prescribed rehabilitation program, including return-to-duty and follow-up tests?
6. For a driver who successfully completed a SAP's rehabilitation referral and remained in your employ, did this driver subsequently have an alcohol test result of 0.04 or greater, a verified positive drug test or refuse to be tested?
7. Did a previous employer report a drug and alcohol rule violation?

Name of Person Providing Information in Section 2

Signature

Title

Phone Number

Date

Form 1-E

Motor Vehicle Driver's Certification of Compliance with Driver License Requirements

MOTOR CARRIER INSTRUCTIONS: The requirements in Part 383 apply to every driver who operates in intrastate, interstate, or foreign commerce and operates a vehicle weighing 26,001 pounds or more, can transport more than 15 people, or hazardous materials that require placarding. The requirements in Part 391 apply to every driver who operates in interstate commerce and operates a vehicle weighing 10,001 pounds or more, can transport more than 15 people, or transports hazardous materials that require placarding.

DRIVER REQUIREMENTS: Parts 383 and 391 of the Federal Motor Carrier Safety Regulations contain some requirements that you as a driver must comply with. These requirements are in effect as of July 1, 1987.

1. POSSESSES ONLY ONE LICENSE: You, as a commercial vehicle driver, may not possess more than one motor vehicle operator's license. If you have more than one license, keep the license from your state of residence and return the additional licenses to the states that issued them.

2. NOTIFICATION OF LICENSE SUSPENSION, REVOCATION OR CANCELLATION: Section 391.15(b)(2) and 383.33 of the Federal Motor Carrier Safety Regulations require that you notify your employer the NEXT BUSINESS DAY of any revocation or suspension of your driver's license. In addition, section 383.31 requires that any time you violate a state or local traffic law (other than parking), you must report it within 30 days to: 1) your employing motor carrier, and 2) the state that issued your license. The notification to both the employer and state must be in writing.

The following license is the only one I will possess:

Driver License No.

State

Exp. Date

DRIVER CERTIFICATION: I certify that I have read and understood the above requirements.

Driver's Name (Printed)

Driver's Signature

Date

Notes:

Form 1-I

Motor Vehicle Driver's Certification of Violations / Annual Review of Driving Record

DRIVER'S REQUIREMENT: Each driver shall furnish the list as required by the motor carrier. If the driver has not been convicted of, or forfeited bond or collateral on account of any violation which must be listed, he/she shall so certify (Section 391.27).

Name of Driver (Print)

Social Security Number

Date of Employment

Home Terminal (City and State)

Driver's License Number

State

Expiration Date

Completed by Driver — Certification of Violations

None (No violations to list)

Date	Offense	Location	Type of Vehicle Operated

Date of Certification

Driver's Signature

Completed by Motor Carrier — Annual Review of Driving Record

I have reviewed the driving record of the above named driver in accordance with Section 391.25 and find that he/she (check one):

Meets minimum requirements for safe driving Is disqualified to drive a motor vehicle pursuant Section 391.15 Does not adequately meet satisfactory safe driving performance

Action taken with driver:

Reviewed by (Signature)

Date

Title

Printed Name

Motor Carrier Name

Motor Carrier Address

MAINTAIN THIS DOCUMENT IN THE DRIVER'S QUALIFICATION FILE. THIS DOCUMENT MAY BE PURGED AFTER 3 YEARS FROM DATE OF EXECUTION.

Form 1-K

Best Driver Solutions Inc

Personal Physician Designation Form

Employee Name

Social Security Number

In case of injury or illness at work, I choose to receive medical treatment from my own physician. I comprehend that Labor Code Section 4600 defines my "Own Physician" as my "Regular Physician and Surgeon" who has formerly directed my medical treatment and who retains medical records, including my medical history.

Physician's Name

Physician's Address

Physician's Telephone Number

At this time I do not have a designated physician

Employee Signature

Today's Date

Quality Representative

Form 1-M

Driver Statement of On-Duty Hours

Motor carriers when using a driver for the first time or intermittently shall obtain from the driver a signed statement giving the driver's total time on-duty during the immediately preceding 7 days and time at which such driver was last relieved from duty prior to beginning work for such carrier (see Section 395.8(j)(2) Federal Motor Carrier Safety Regulations).

Driver Name (Print)

Social Security Number

Driver's License State

License Number

Class

Endorsement(s)

Restriction(s)

Day 1	Day 2	Day 3	Day 4	Day 5	Day 6	Day 7 (Yesterday)	Total Hours

I hereby certify that the information given is correct to the best of my knowledge and belief, and that I was last relieved from work at:

Time

Day

Month

Year

Driver's Signature

Date

Processed By: Date:

Form 1-J

Best Driver Solutions Inc

This Section to be Filled in by Responsible Officer or Company Representative

APPLICANT HIRED REJECTED

Date Employed

Point Employed

Department

Classification

(If rejected, summary report of reasons should be placed in file)

Process Record

Item	Superior	Good	Fair	Below Average	Poor	Written Record on File
1. Application
2. Interview
3. Past Employment
4. Written Exam
5. Test
6. Criminal and Traffic Convictions

Signature of Interviewing Officer

Date

Transfers

From	To	Date	Reason for Transfer

Termination of Employment

Date Terminated

Department Released From

Voluntarily Quit Other

Termination Report Placed in File

Supervisor Signature

Date

Form 1-C

Best Driver Solutions Inc

Request for Information from Previous Employer

Dear Sir/Madam:

The below named individual has made application to this company for a position as a and states that he/she was employed by you as from (m/y) to (m/y)

We appreciate your time in completing, in confidence, the information requested below. Please fax back to (800) 691-6731. Thank you for your courtesy.

Sincerely,
Best Driver Solutions Inc

Name of Applicant

Social Security #

Name and Address of Previous Employer

Contact Name

Ph#

Branch Location

Employed from:

Start Date

End Date

Start Date 2

End Date 2

Start Date 3

End Date 3

Equipment Operated:

Tractor/Trailer % driven

Straight Truck % driven

Doubles % driven

Type of Trailer: Van Reefer Tanker Flatbed 53' 48' 28' Bus Other:

Area Driven: OTR Regional Local # of States driven: Responsible for maintaining logs? Yes No

Reason for leaving?

Discharged Resignation Lay Off Military Other:

Accidents in Past 3 Years (If NONE, check: )

THIS FORM WAS (check appropriate box):

Mailed, Date: Faxed, Date: By Phone, Date:

I hereby authorize you to release the following information to Best Driver Solutions LLC for the purposes of investigation as required by Section 391.23 and allowed by Section 383.35 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability which may result from furnishing such information.

Applicant's Signature

Date

Print Name

Form 1-D

Confidential Report of Personal Reference

Driver Name

Please indicate your opinion by placing a check in the appropriate column.

Characteristics	Excellent	Good	Fair	Poor
Disposition, Tact, Ability to get along with others
Initiative, Resourcefulness
Safety Habits
Driving Skill
Attitude
Loyalty

Any other remarks:

Signature

Title

Date

FOR PROSPECTIVE EMPLOYER'S RECORD
MAINTAIN THIS INFORMATION IN THE DRIVER QUALIFICATION FILE FOR
3 YEARS AFTER THE PERSON'S EMPLOYMENT BY THE MOTOR CARRIER CEASES.

Form 1-D

Best Driver Solutions Inc

Disclosure and Authorization for Consumer Reports

Disclosure

In connection with my application for employment (including contract or volunteer services) with , I understand consumer reports will be requested by you ("Company"). These reports may include, as allowed by law, the following types of information: names and dates of previous employers, work experience, education, accidents, licensure, credit, etc. I further understand that such reports may contain public record information such as: my driving record, workers' compensation claims, judgments, bankruptcy proceedings, evictions, criminal records, etc., from federal, state, and other agencies that maintain such records. In addition, investigative consumer reports (gathered from personal interviews with former employers or landlords, past or current neighbors and associates of mine, etc.) to gather information regarding my work or tenant performance, character, general reputation and personal characteristics may be obtained. If I am hired, I understand that my employer can use this disclosure and authorization to continue to obtain such consumer reports throughout my employment.

Authorization

I hereby authorize procurement of consumer report(s) and investigative consumer report(s) by Company. If hired (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for Company to procure such reports at any time during my employment, contract, or volunteer period. I authorize without reservation, any person, business or agency contacted by the consumer reporting agency to furnish the above-mentioned information.

This authorization is conditioned upon the following representations of my rights:

I understand that I have the right to make a request to the consumer reporting agencies: Intelifi ("Agency"), 8730 Wilshire Blvd, 4th Floor, Suite 412, Beverly Hills, CA 90211, (888) 409-1819, and/or Frasco Profiles ("Agency") 215 W. Alameda Avenue, Burbank, CA 91502, (800) 820-9209, fax (818) 567-1215, upon proper identification, to obtain copies of any reports furnished to Company by the Agency and to request the nature and substance of all information in its files on me at the time of my request. I understand that if the Company is located in California, Minnesota or Oklahoma, that I have the right to request a copy of any report Company receives on me. Check here to request a copy. As a California applicant, I understand that I have the right under Section 1786.22 of the California Civil Code to contact the Agency during reasonable hours (7:00 a.m. to 4:30 p.m. PTZ, Monday through Friday). I understand that if I am applying for employment in New York, that I have the right to receive a copy of Article 23-A of the New York Correction Law __________ (initial if this applies). I understand that if the report is provided to an employer in the State of Washington, I can contact: State of Washington Attorney General, Consumer Protection Division, 800 5th Ave, Ste. 2000, Seattle, WA 98104-3188, (206) 464-7744.

In connection with my application for employment, I direct the following regarding my current employer: Yes, my current employer may be contacted No, my current employer may not be contacted

I understand that I have rights under the Fair Credit Reporting Act, and I acknowledge receipt of the Summary of Rights __________ (initials).

Printed Name

Signature

Date

For identification purposes:

Social Security No.

Date of Birth

Email (required for legal notices)

Any other names used

Driver's License No.

State of Issuance

Disclosure & Authorization for Consumer Reports

Employment Checklist for Multiple-Employer Driver — Alcohol and Controlled Substance Testing

MOTOR CARRIER INSTRUCTIONS: Each motor carrier shall at least once every 12 months, require each driver it employs to prepare and furnish it with a list of all violations of motor vehicle traffic laws and ordinances (other than violations involving only parking) of which the driver has been convicted, or on account of which he/she has forfeited bond or collateral during the preceding 12 months (Section 391.27).

The qualification file for a multiple-employer driver employed under the rules in Section 391.63 must include the following forms and must be retained for 3 years after the person's employment by the motor carrier ceases:

1. Medical Examiner's Certification — The medical examiner's certificate of his physical qualification to drive a motor vehicle or a legible photographic copy of the certificate pursuant to Section 391.43.

2. Certificate of Driver's Road Test — The certificate of the driver's road test issued to the driver pursuant to Section 391.31(e), or a copy of the license or certificate which the motor carrier accepted as equivalent to the driver's road test pursuant to Section 391.31.

A motor carrier must ensure that a multiple-employer driver is currently participating in drug and alcohol testing programs as required by Part 382 of the Federal Motor Carrier Safety regulation.

Verify participation in current drug and alcohol testing program for driver's regular motor carrier's employment program.

Information regarding individual results of alcohol and controlled substance testing shall be maintained in a secure location with controlled access.

Driver's Signature

Date

Processed By (Carrier Agent)

Date

Form 1-J

Important Disclosure Regarding Background Reports from the PSP Online Service

Prospective Employer

In connection with your application for employment with Best Driver Solutions LLC ("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.

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.

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. 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 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. The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

Authorization

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below. I authorize ("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 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.

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.

Signature

Date

Name (Please Print)

NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant's written or electronic consent prior to accessing the Applicant's PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant's consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.

NOTICE: The prospective employment concept referenced in this form contemplates the definition of "employee" contained at 49 C.F.R. 383.5. LAST UPDATED 12/22/2015

PSP Background Report Disclosure & Authorization

STATE OF CALIFORNIA — DEPARTMENT OF MOTOR VEHICLES

A Public Service Agency

Employer Pull Notice Program

Authorization for Release of Driver Record Information

I, , California Driver License Number, , hereby authorize the California Department of Motor Vehicles (DMV) to disclose or otherwise make available, my driving record, to my employer, Best Driver Solutions LLC.

I understand that my employer may enroll me in the Employer Pull Notice (EPN) program to receive a driver record report at least once every twelve (12) months or when any subsequent conviction, failure to appear, accident, driver's license suspension, revocation, or any other action is taken against my driving privilege during my employment.

I am not driving in a capacity that requires mandatory enrollment in the EPN program pursuant to California Vehicle Code (CVC) Section 1808.1(k). I understand that enrollment in the EPN program is in an effort to promote driver safety, and that my driver license report will be released to my employer to determine my eligibility as a licensed driver for my employment.

Executed At: City

County

State

Date

Signature of Employee X

I, , of Best Driver Solutions LLC, do hereby certify under penalty of perjury under the laws in the State of California, that I am an authorized representative of this company, that the information entered on this document is true and correct, to the best of my knowledge and that I am requesting driver record information on the above individual to verify the information as provided by said individual. This record is to be used by this employer in the normal course of business and as a legitimate business need to verify information relating to a driving position not mandated pursuant to CVC Section 1808.1. The information received will not be used for any unlawful purpose.

Executed At: City

County

State

Date

Signature and Title of Authorized Representative X

To obtain a driver record on a prospective employee you may submit an INF 1119 form. To add this driver to the EPN Program you must submit the applicable forms: INF 1100, INF 1102, INF 1103, INF 1103A form. You may obtain forms at our website at www.dmv.ca.gov/otherservices, or by calling 916-657-6346.

THIS FORM MUST BE COMPLETED AND RETAINED AT THE EMPLOYER'S PRINCIPAL PLACE OF BUSINESS AND MADE AVAILABLE UPON REQUEST TO DMV STAFF.

DO NOT RETURN THIS FORM TO DMV.

INF 1101 ENGLISH (REV. 9/2004) WWW

Personal Information

List your addresses of residency for the past 7 years

Employment History

Employer #1

Employer #2

Employer #3

Employment History (Continued)

Employer #4

Employer #5

Experience and Qualifications — Driver

Driver Licenses

Driving Experience — If None, Write None

Accident Record for Past 3 Years (If None, Write None)

Traffic Convictions and Forfeitures for the Past 3 Years (Other Than Parking Violations — If None, Write None)

Education

Experience and Qualifications — Other

To Be Read and Signed by Applicant

Alcohol and/or Drug Test Notification

Previous Pre-Employment Employee Alcohol and Drug Test Statement

Release Consent of Information

Rights to Review Information from Previous Employer

Fair Credit Reporting Act Disclosure Statement

Fair Credit Reporting Act Disclosure

Statement for Background Check

Previous Employer Alcohol & Drug Test Information

Motor Vehicle Driver's Certification of Compliance with Driver License Requirements

Motor Vehicle Driver's Certification of Violations / Annual Review of Driving Record

Completed by Driver — Certification of Violations

Completed by Motor Carrier — Annual Review of Driving Record

Personal Physician Designation Form

Driver Statement of On-Duty Hours

This Section to be Filled in by Responsible Officer or Company Representative

Process Record

Transfers

Termination of Employment

Request for Information from Previous Employer

Accidents in Past 3 Years (If NONE, check: )

Confidential Report of Personal Reference

Disclosure and Authorization for Consumer Reports

Disclosure

Authorization

Employment Checklist for Multiple-Employer Driver — Alcohol and Controlled Substance Testing

Important Disclosure Regarding Background Reports from the PSP Online Service

Authorization

Employer Pull Notice Program

Authorization for Release of Driver Record Information