AS A PROSPECTIVE EMPLOYER WE ARE REQUIRED TO INFORM ALL DRIVER APPLICANTS THAT THE INFORMATION PROVIDED ON THIS APPLICATION OF EMPLOYMENT MAY BE USED, AND APPLICANTS' PRIOR EMPLOYERS MAY BE CONTACTED, FOR THE PURPOSE OF INVESTIGATING THE SAFETY PERFORMANCE HISTORY INFORMATION AS REQUIRED BY PARAGRAPHS(D) AND (E) OF 49 CFR.391.23 OF THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS (FMCRs). AS THE PROSPECTIVE EMPLOYER, WE MUST ALSO NOTIFY DRIVER APPLICANTS OF THEIR DUE PROCESS RIGHTS AS SPECIFIED IN 49 CFR.391.23(I) OF THE FMCRs REGARDING INFORMATION RECEIVED AS A RESULT OF THESE INVESTIGATIONS.

DRIVER APPLICANT'S DUE RIGHTS INCLUDE THE RIGHT TO:

1. REVIEW INFORMATION PROVIDED BY PREVIOUS EMPLOYERS.
2. HAVE ERRORS IN THE INFORMATION CORRECTED BY THE PREVIOUS EMPLOYER AND FOR THAT PREVIOUS EMPLOYER TO RE-SEND THE CORRECTED INFORMATION TO THE PROSPECTIVE EMPLOYER AND 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.

I CERTIFY THAT ALL INFORMATION ON THIS APPLICATION IS TRUE, COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE OR MISLEADING STATEMENTS BY ME MAY RESULT IN REJECTION OF MY APPLICATION, OR, IF EMPLOYED, MY IMMEDIATE DISMISSAL.

I HEREBY GIVE PERMISSION OF TO THE EMPLOYER TO SEEK TO VERIFY AND SUPPLEMENT THE INFORMATION SET FORTH IN THE APPLICATION. I RELEASE FROM ALL LIABILITY OR LEGAL CLAIMS EVERY PERSON SEEKING OR PROVIDING INFORMATION, WHETHER ORAL OR WRITTEN. A PHOTOCOPY OF THIS RELEASE SHALL BE AS VALID AS THE ORIGINAL AND MAY BE RELIED UPON BY ALL PERSONS PROVIDING INFORMATION.

I UNDERSTAND THAT EMPLOYMENT WITH THIS EMPLOYER IS NOT CONTRACTUAL AND IS AT-WILL. I UNDERSTAND AND AGREE THAT, IF HIRED, I MAY VOLUNTARILY LEAVE EMPLOYMENT AT ANYTIME AND MAY BE TERMINATED AT ANYTIME WITHOUT PRIOR NOTICE FOR ANY REASON, OR FOR NO REASON. I UNDERSTAND THAT ANY ORAL OR WRITTEN STATEMENTS WHICH I MAY CLAIM TO HAVE BEEN MADE TO ME NOW OR IN THE FUTURE INCONSISTENT WITH THE PROVISIONS OF THIS PARAGRAPH, ARE EXPRESSLY DISAVOWED AND REVOKED BY THE COMPANY, AND SHOULD NOT BE RELIED UPON BY ME AS AN APPLICANT FOR EMPLOYMENT OR AS AN EMPLOYEE IF HIRED.

• I UNDERSTAND THIS APPLICATION WILL BE CONSIDERED INACTIVE AFTER 30 DAYS.
• I UNDERSTAND THAT IF MY APPLICATION IS ACCEPTED AND I AM OFFERED EMPLOYMENT, THE EMPLOYER MAY CONDITION EMPLOYMENT UPON MY HAVING A VALID FEDERAL MEDICAL CARD/DOT COMMERCIAL DRIVER PHYSICAL, AND IF IT IS EXPIRED, EMPLOYMENT IS CONDITIONED UPON THE SUCCESSFUL COMPLETION OF THIS COMMERCIAL DRIVERS DOT PHYSICAL, WHICH I AM FINANCIALLY RESPONSIBLE FOR.
• I CERTIFY I HAVE READ AND UNDERSTAND THIS AUTHORIZATION, RELEASE, AND CERTIFICATION.