Safe Driver
Resume:
Name Glen I Green
Residence * years or longer (If No,
previous addresses shown below)
Yes
Address ***** ********* **.
City, State/Province Zip/Postal Brooksville, FL 34604 Country United States
SSN/SIN 9415
Date of Birth
Primary Phone 813-***-****
Cell Phone 813-***-****
Preferred method of contact Primary Phone
Best time to contact you Any
Email acuq77@r.postjobfree.com
Are you legally eligible for employment in
the United States?
Yes
Are you currently employed? Yes
What date did your last employment end?
Do you read, write, and speak English? Yes
Have you ever worked for this company
before?
No
Enter start and end dates, location,
position, rate of pay, and reason for
leaving:
Do you have a current TWIC card? No
Expiration date:
Have you ever been known by any other
name?
No
Enter name:
How did you hear about us? Internet
If you selected "Other" or "Referrral"
please explain:
DRIVING EXPERIENCE
For 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 None,but know the ropes on several types Tractor and Semi-Trailer Flatbeds,Vans 53"&57",Dry bulk,Water,&gasoline tanker,livestock haul
Tractor - Two Trailers None,but know the ropes
Other Heavy haul,no exp.,have had hands on
though
Which safe driving awards do you hold
and from whom?
No awards,but clean mvr,criminal,PSP,and
dac
CDL A,since 09/18/1996
Truck Driving School
National Training Inc.
EQUIPMENT (OWNER/OPERATORS ONLY)
Equipment Description (Tractor):
Type:
Year:
Make:
Model:
Color:
VIN:
Weight
Mileage
Fifth Wheel Height
EDUCATION
List highest grade completed:
List last school attended (name, city, and
state):
Licenses
License Number 380
State/Province FL
Country United States
License Class Class A
License Expiration Date 09-18-2021
Physical Expiration Date 05-06-2017
Current License Yes
Commercial Driver License Yes
Endorsements
Tanker Endorsement yes
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement Yes
Other Endorsement N
Employment / Unemployment
D.A.B.Constructors
PLEASE DO NOT CONTACT
Company D.A.B.Constructors
Start Date 04-2016
End Date 04-2016
Address
City, State/Province Zip/Postal Inglis, FL
Country United States
Phone
Position Held Driver
Reason for leaving? still employed
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
May we contact this employer at this time? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tanker
Most common trailer Other
Trailer length 31 feet or less
D.A.B. Constructors
PLEASE DO NOT CONTACT
Company D.A.B. Constructors
Start Date 03-2016
End Date 03-2016
Address
City, State/Province Zip/Postal Inglis, FL
Country United States
Phone 000-***-****
Position Held Driver
Reason for leaving? still there
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
May we contact this employer at this time? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Class B Vehicle
Most common trailer Other
Trailer length 31 feet or less
D.a.b. Constructors Inc
PLEASE DO NOT CONTACT
Company D.a.b. Constructors Inc
Start Date 05-2014
End Date 02-2016
Address Northwest ave
City, State/Province Zip/Postal Brooksville, FL 34613 Country United States
Phone
Fax 352-***-****
Position Held Driver/water truck
Reason for leaving? current employer
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
May we contact this employer at this time? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Other
Trailer length 31 feet or less
Swift Transportation
Company Swift Transportation
Start Date 12-2013
End Date 04-2014
Address
City, State/Province Zip/Postal Ocala, FL
Country United States
Phone
Position Held
Reason for leaving? wouldn't get me home
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Van
Trailer length 53 feet or more
Heartland Express
Company Heartland Express
Start Date 08-2013
End Date 12-2013
Address 901 N KANSAS AVE
City, State/Province Zip/Postal North Liberty, IA 52317 Country United States
Phone 800-***-****
Position Held Driver/Regional
Reason for leaving? no miles
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven Ga,Fl.
Miles driven weekly
Pay Range (cents/mile) 39cpm
Most common truck driven
Most common trailer Van
Trailer length 53 feet or more
Swift Transportation
Company Swift Transportation
Start Date 04-2013
End Date 07-2013
Address
City, State/Province Zip/Postal Phoenix, AZ
Country United States
Phone 800-***-****
Position Held Driver/OTR
Reason for leaving? wanted regional
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven 48 States
Miles driven weekly
Pay Range (cents/mile) 40-50cpm
Most common truck driven
Most common trailer Van
Trailer length 53 feet or more
Link America
Company Link America
Start Date 05-2012
End Date 04-2013
Address 2627 E. 21st St
City, State/Province Zip/Postal Tulsa, OK 74114
Country United States
Phone 866-***-****
Fax 972-***-****
Position Held
Reason for leaving? Arnold Transportation took over Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven 48 states
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Van
Trailer length 45 to 52 feet
Unemployment
Start Date 04-2012
End Date 04-2012
Comment
Bullstone
Company Bullstone
Start Date 02-2011
End Date 03-2012
Address
City, State/Province Zip/Postal St.pauls, NC
Country United States
Phone 910-***-****
Position Held Driver/Livestock
Reason for leaving? moved back to Fl.
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven regional
Miles driven weekly
Pay Range (cents/mile) %
Most common truck driven
Most common trailer Other
Trailer length 53 feet or more
Walbon And Company Inc
Company Walbon And Company Inc
Start Date 10-2010
End Date 01-2011
Address 4230 pine bend trail
City, State/Province Zip/Postal Rosemont, MN 55068 Country United States
Phone 651-***-****
Fax 651-***-****
Position Held company driver
Reason for leaving? took leave of absence,due to lawsuit Were you terminated/discharged/laid off? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven n/w
Miles driven weekly
Pay Range (cents/mile) 35
Most common truck driven
Most common trailer Reefer
Trailer length 53 feet or more
Link America
Company Link America
Start Date 12-2009
End Date 10-2010
Address 2627 E. 21st St
City, State/Province Zip/Postal Tulsa, OK 74114
Country United States
Phone 918-***-****
Fax 918-***-****
Position Held driver/owner op/driver
Reason for leaving? lawsuit
Were you terminated/discharged/laid off? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven s/e s/w s/e
Miles driven weekly
Pay Range (cents/mile) 35
Most common truck driven
Most common trailer Dry Van
Trailer length 53 feet or more
Sunstate Carriers
Company Sunstate Carriers
Start Date 05-2009
End Date 12-2009
Address
City, State/Province Zip/Postal Tavares, FL
Country United States
Phone 352-***-****
Fax 352-***-****
Position Held driver
Reason for leaving? no miles
Were you terminated/discharged/laid off? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven n/e s/e and Canada
Miles driven weekly
Pay Range (cents/mile) 35
Most common truck driven
Most common trailer Reefer
Trailer length 53 feet or more
Cfi (con-way Truck Load)
Company Cfi (con-way Truck Load)
Start Date 02-2009
End Date 05-2009
Address 4701 E. 32nd St.
City, State/Province Zip/Postal Joplin, MO 64804
Country United States
Phone 800-***-****
Position Held driver
Reason for leaving? couldnt get hazmat by company deadline Were you terminated/discharged/laid off? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven all 48 & canada
Miles driven weekly
Pay Range (cents/mile) 34 to 42 slidingpay
Most common truck driven
Most common trailer Dry Van
Trailer length 53 feet or more
Pizzahut
Company Pizzahut
Start Date 06-2008
End Date 02-2009
Address
City, State/Province Zip/Postal Newtampa, FL
Country United States
Phone
Position Held driver
Reason for leaving? went back OTR
Were you terminated/discharged/laid off? No
Did you operate a commercial motor
vehicle?
No
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
Unemployment
Start Date 01-2008
End Date 05-2008
Comment
Us Express
Company Us Express
Start Date 08-2007
End Date 12-2007
Address 4080 Jenkins Rd.
City, State/Province Zip/Postal Chattanooga, TN 37421 Country United States
Phone 800-***-****
Position Held DRIVER
Reason for leaving? equipment issues
Were you terminated/discharged/laid off? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven all 48+canada
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Dry Van
Trailer length 53 feet or more
Allen Freight Services
Company Allen Freight Services
Start Date 02-2007
End Date 08-2007
Address 565 Ellis Rd
City, State/Province Zip/Postal Jacksonville, FL 32254 Country United States
Phone 800-***-****
Fax 904-***-****
Position Held
Reason for leaving? Not getting the miles
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven OTR
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Van
Trailer length 45 to 52 feet
JB Hunt
Company JB Hunt
Start Date 12-2006
End Date 02-2007
Address 623 N Bloomington Dr
City, State/Province Zip/Postal Lowell, AR 72745
Country United States
Phone 800-***-****
Position Held
Reason for leaving? Not getting the miles
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven OTR
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Van
Trailer length 45 to 52 feet
Penn Tank Lines
Company Penn Tank Lines
Start Date 02-2006
End Date 12-2006
Address
City, State/Province Zip/Postal Tampa, FL
Country United States
Phone
Fax 484-***-****
Position Held
Reason for leaving? Wanted to go OTR
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Areas Driven Florida
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Tank Trailer
Trailer length 32 to 44 feet
Unemployment
Start Date 12-2004
End Date 01-2006
Comment health problem
B-Line Express
Company B-Line Express
Start Date 05-2003
End Date 11-2004
Address
City, State/Province Zip/Postal Brooksville, FL
Country United States
Phone
Position Held
Reason for leaving? Slow Work
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Tank Trailer
Trailer length 45 to 52 feet
Strawberry Petroleum
Company Strawberry Petroleum
Start Date 03-2003
End Date 04-2003
Address
City, State/Province Zip/Postal Brooksville, FL
Country United States
Phone
Position Held
Reason for leaving? Not getting miles
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer Tank Trailer
Trailer length 45 to 52 feet
Trucking School
Start Date 09-1996
End Date 09-1996
School National Training Inc.
City, State/Province Orangepark, FL
Country United States
Phone 904-***-****
Did you graduate? Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while attending this truck
school?
Yes
Did you perform any safety sensitive
functions at this truck school, regulated by
DOT, and subject to drug and alcohol
testing?
Yes
GPA B
Hours of Instruction 180
Border Crossing Yes
Log Books Yes
Federal Motor Carrier Regulations Yes
Hazardous Materials Yes
Motor Vehicle Record
1. Has any license, permit or privilege ever
been denied, suspended or revoked for
any reason?
No
2. Have you ever been convicted of driving
during license suspension or revocation, or
driving without a valid license or an expired
license, or are any charges pending?
No
3. Have you ever been convicted for any
alcohol or controlled substance related
offense while operating a motor vehicle, or
are any charges pending?
No
4. Have you ever been convicted for
possession, sale or transfer of an illegal
substance (including but not limited to,
marijuana, amphetamines, or derivatives
thereof) while on duty, or are any charges
pending?
No
5. Have you ever been convicted of
reckless driving, careless driving or
careless operation of a motor vehicle, or
are any charges pending?
No
6. Have you ever tested positive, or
refused to test on a pre-employment drug
or alcohol test by an employer to whom
you applied, but did not obtain
safety-sensitive transportation work
covered by DOT agency drug and alcohol
testing rules in past three years, or have
you ever tested positive or refused to test
on any DOT-mandated drug or alcohol
test?
No
Vehicle Accident Record
Were you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?
No Accidents
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? No Violations
Criminal Record
Have you ever been convicted of a crime? No
Do you have any deferred prosecutions? No
Do you have criminal charges pending? No
Have you ever pled "guilty" to, been
convicted of, or pled "no contest" to a
felony?
No
If you have any felony convictions, do you
currently hold a minister's permit to enter
or exit Canada?
No
Have you, within the last five years, pled
"guilty" to, been convicted of, had
prosecution deferred in connection with, or
pled "no contest" to a misdemeanor?
No
Federal FCRA Summary of Rights Acknowledgment
By checking this box, I acknowledge that I
have read and understand the Summary of
Rights.
Yes
Drug and Alcohol Release
I agree with the above language Yes
PSP Release
I agree with the above language Yes
User Requested Copy
User requested a copy to be sent to this
email address acuq77@r.postjobfree.com.
Yes
By my check of this box, I represent that I
understand and agree to the above and
that I intend to execute this document by
electronic signature in checking this box.
Yes
Signature
Full Name Glen I Green
IP Address 97.32.102.199
Signature Date/Time 04-03-2016 3:56 PM
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: 04-03-2016 3:56 PM
Signed:
DISCLOSURE AND RELEASE
In connection with your employment or application of employment (including contract for services) through Blackhawk Transport, Inc., consumer reports (Investigative Consumer Reports in California) may be requested from HireRight Solutions (formerly USIS Commercial Services). These reports may include the following types of information: names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and drug/alcohol use. Such reports may contain public record information concerning your driving record, workers compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies that maintain such records; as well as information from HireRight concerning previous driving record requests made by others from such 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 at the time of your request, including the explaining of any coded information, the sources of information and the recipients of any reports on you that HireRight has previously furnished within the past two year period preceding your request (3 years in California). HireRight may be contacted by mail at P.O. Box 33181, Tulsa, OK 74153 or by telephone at 800-***-****. You may also bring a third party with you to view the information at the HireRight offices if this person provides proper identification. I AUTHORIZE, WITHOUT RESERVATION, HIRERIGHT, FMCSA AND ANY OTHER PARTY OR AGENCY CONTACTED BY HIRERIGHT TO FURNISH THE ABOVE MENTIONED INFORMATION. THIS AUTHORIZATION DOES NOT APPLY TO DRUG AND ALCOHOL INFORMATION CONTAINED 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 my employment history (not DOT drug and alcohol information without a specific consent by me) with you if I am hired, will be supplied by HireRight to other 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 you to 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 cannot change or alter such information. If I dispute any information maintained by FMCSA, I must personally contact the FMCSA by accessing the DataQs System at: https://dataqs.fmcsa.dot.gov.
Printed Name:
Glen I Green
Social Security #:
9415
Signed Date: 04-03-2016
Glen I Green
15262 Highfield Rd.
Brooksville, FL 34604
Gender:
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Blackhawk Transport, 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 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. AUTHORIZATION
If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize Blackhawk Transport, Inc. ("Prospective Employer") to access the FMCSA Pre
Contact this candidate