Information Driver

Location:

Texas

Posted:

April 19, 2015

Contact this candidate

Resume:

NFI / NFI Interactive Logistics LLC (IC) **-**-***5 3:12:56PM CDT

**** ***** **** ****

Cherry Hill, NJ 08003

888-***-****

IntelliApp - IC

Thank you for your interest in:

NFI

** **** **** Avenue

Vineland, NJ 08360

-- or --

NFI Interactive Logistics LLC

1515 Burnt Mill Road

Cherry Hill, NJ 08003

To apply for a contract position, please complete our online qualification form. Incomplete

information will delay the processing of your qualification form 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 Information

Referral Code: SF_med001_oo-otr-ded-pods

Name Steve Joseph Hoegler, Sr.

Residence 3 years or longer (If No, No

previous addresses shown below)

Address 4796 Cedar Hill Drive

Address 2 Po Box !99/ 76086

City, State/Province Zip/Postal Weatherford, TX 76087

Country United States

Addresses Over last 3 years Address 1

4796 Cedar Hill Drive

Weatherford, TX 76087

United States

01-2013 to 04-2015

Address 2

11515 South Docking Rd

burlingame, KS 66413

United States

05-1997 to 01-2013

SSN/SIN 4694

Date of Birth

Primary Phone 785-***-****

Cell Phone 785-***-****

Preferred method of contact Cell Phone

Best time to contact you Any

Email *****************@*****.***

Company Questions

GENERAL INFORMATION

Are you a Fleet Owner? No

Are you a driver for a Fleet Owner? No

Please list Fleet Owner's name:

Do you currently own a truck/trailer? No

Will you need assistance to lease Yes

purchase a truck/trailer?

If you have spoken with a recruiter, please None

select their name

If you were referred by a current NFI

owner operator, company driver or

non-driving employee, please list their

name, driver code or NFI truck number:

Are you legally eligible for employment in Yes

the United States?

Do you read, write, and speak English? Yes

Have you been granted a waiver under

section 391.49 of the federal motor carrier

safety regulation pertaining to the loss of a

foot, hand, or arm?

Date of last DOT physical examination: 01 06 2014

Have you ever leased with or worked for No

this company before?

Please give the date and state your name

at that time, if different from present name

Do you have any commitments to another No

lessor that might affect you contracting

with our company?

Please explain:

Do you have a current TWIC card? Yes

TWIC expiration date: 4/2019

Do you have a current FAST Card? No

FAST expiration date:

How many years of verifiable OTR 3+

experience do you have in the last 3

years?

Have you been convicted of DUI, DWI, or No

reckless driving within the last 5 years?

Please enter the names of any relatives

employed by NFI or who provide services

to NFI:

Have you ever been known by any other No

name?

Enter name:

EMERGENCY CONTACT

Name: Patricia Wolf

Address (street, city, state, zip): Platte City, mo

Relationship: sister

Phone: 816-***-****

DRIVING EXPERIENCE

How much experience do you have in each of these types of equipment/trailer types?

Tractor and Semi Trailer 12+ months

Dry Van 12+ months

Reefer 12+ months

Tanker Less than 6 months

Flatbed 12+ months

Other

Which safe driving awards do you hold and

from whom?

EQUIPMENT

Equipment Description (Tractor):

Type:

Year:

Make:

Model:

Color:

VIN:

What is the name of the owner you will be

driving for? (If you own the truck, please

list your name)

EDUCATION

List highest grade completed: College - 2

List last school attended (name, city, and kckcc, Kansas City,ks

state):

PERSONAL REFERENCES

List name, address, city, state, phone number, and relationship:

First Reference: Lee Walter Weatherford, Tx 817-***-****

friend

Second Reference: Ted Rillinger Auburn, Ks 785-***-****

friend

Licenses

License Number 779

State/Province KS

Country United States

License Class Class A

License Expiration Date 04-28-2016

Physical Expiration Date 05-14-2016

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement No

HAZMAT Endorsement Yes

X Endorsement Yes

Doubles Triples Endorsement Yes

Other Endorsement No

Employment / Unemployment

Tri-State Motor Transit Co.

Company Tri-State Motor Transit Co.

Start Date 01-2014

End Date 04-2015

Address PO Box 113

City, State/Province Zip/Postal Joplin, MO

Country United States

Phone 417-***-****

Fax 417-***-****

Position Held OTR

Reason for leaving? voluntary gone to much

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 Yes

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven 48 states

Miles driven weekly 2000-2500

Pay Range (cents/mile) 0.51

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

Paschal truck lines

Company Paschal truck lines

Start Date 07-2013

End Date 12-2013

Address

City, State/Province Zip/Postal Murray, KY

Country United States

Phone

Reason for leaving? voluntary gone to long

Were you terminated/discharged/laid off? No

Is this your current employer? No

Yes

May we contact this employer at this time?

Did you operate a commercial motor Yes

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven 48 states

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

Salem Carriers

Company Salem Carriers

Start Date 05-2013

End Date 06-2013

Address 4455 LANSING DRIVE

Address 2 Mineral Wells, Tx

City, State/Province Zip/Postal Winston Salem, NC 27105

Country United States

Phone 336-***-****

Fax 336-***-****

Position Held direct delivery driver OTR

Brief Job Description (e.g., "OTR driver in Load and Unload OTR Driver

southeast US", "loaded and unloaded

trucks at distribution center")

Reason for leaving? layed off

Were you terminated/discharged/laid off? Yes

Termination Explanation layed off

Is this your current employer? No

May we contact this employer at this time? Yes

Yes

Did you operate a commercial motor

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile) $.38pm

Most common truck driven Daycab Tractor-Non-sleeper

Most common trailer Flatbed

Trailer length 45 feet or longer

Unemployment

Start Date 09-2012

End Date 04-2013

Comment unemployment

Matthews Transportation

Company Matthews Transportation

Start Date 04-2012

End Date 08-2012

Address 1400 S US HWY 71

City, State/Province Zip/Postal Savannah, MO 64485

Country United States

Phone 816-***-****

Fax 816-***-****

Position Held OTR Ddriver

Brief Job Description (e.g., "OTR driver in OTR Driver general commodities

southeast US", "loaded and unloaded

trucks at distribution center")

Reason for leaving? very bad equipment

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Yes

Did you operate a commercial motor

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile) 23% of load

Most common truck driven Sleeper Tractor-Cabover /Conventional

Most common trailer Reefer Unit

Trailer length 45 feet or longer

Unemployment

Start Date 03-2012

End Date 03-2012

Comment unemployment

Fedex Freight

Company Fedex Freight

Start Date 01-2010

End Date 02-2012

Address 3610 Hacks Cross Rd

Address 2 Topeka, Ks

City, State/Province Zip/Postal Memphis, TN 38125

Country United States

Phone 870-***-****

Fax 870-***-****

Position Held OTR Driver

Brief Job Description (e.g., "OTR driver in PU/Del and OTR driver

southeast US", "loaded and unloaded

trucks at distribution center")

Reason for leaving? policy disagreement

Were you terminated/discharged/laid off? Yes

Termination Explanation a BS issue over diversity issue claim by a

temp office worker that didn't exist but

grew out of hand

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor Yes

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile) $.48pm + 20.50 ph do

Most common truck driven Daycab Tractor-Non-sleeper

Most common trailer Doubles / Triples

Trailer length 27 to 39 feet

Unemployment

Start Date 10-2009

End Date 12-2009

Comment unemployed

Transervice Logisticis Inc./Exide Technologies

Company Transervice Logisticis Inc./Exide

Technologies

Start Date 05-2004

End Date 09-2009

Address 413 Berg Rd

City, State/Province Zip/Postal Salina, KS

Country United States

Phone 785-***-****

Position Held OTR Driver

Brief Job Description (e.g., "OTR driver in OTR Driver PU/DEL auto type Batteries

southeast US", "loaded and unloaded

trucks at distribution center")

Reason for leaving? laid off

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 Yes

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile) .38pm/16.00 ph delay

Most common truck driven Sleeper Tractor-Cabover /Conventional

Most common trailer Dry Van

Trailer length 45 feet or longer

Unemployment

Start Date 01-2004

End Date 04-2004

Comment unemployment

Us Express

Company Us Express

Start Date 03-2003

End Date 12-2003

Address

City, State/Province Zip/Postal Chattanooga, TN

Country United States

Phone

Position Held OTR Driver general commodities

Brief Job Description (e.g., "OTR driver in OTR Driver

southeast US", "loaded and unloaded

trucks at distribution center")

Reason for leaving? accident

Were you terminated/discharged/laid off? Yes

Termination Explanation layover accident cause by shipper failed to

secure load

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor Yes

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile) .34pm

Most common truck driven Sleeper Tractor-Cabover /Conventional

Most common trailer Dry Van

Trailer length 45 feet or longer

Convoy Systems LLC

Company Convoy Systems LLC

Start Date 09-2001

End Date 10-2002

Address 333 N James St

City, State/Province Zip/Postal Kansas City, KS 66118

Country United States

Phone 913-***-****

Fax 913-***-****

Position Held OTR Driver

Brief Job Description (e.g., "OTR driver in OTR Driver

southeast US", "loaded and unloaded

trucks at distribution center")

Reason for leaving? bad Management dispatcher

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 Yes

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile) .32cpm

Most common truck driven Sleeper Tractor-Cabover /Conventional

Most common trailer Dry Van

Trailer length 45 feet or longer

Military

Branch of Service Marines

Start Date 04-1972

End Date 04-1976

Can you obtain your DD214? Yes

Rank at discharge E5

Did you receive an honorable discharge? Yes

Motor Vehicle Record

1. Has any license, permit or privilege ever No

been denied, suspended or revoked for

any reason?

2. Have you ever been convicted of driving No

during license suspension or revocation, or

driving without a valid license or an expired

license, or are any charges pending?

3. Have you ever been convicted for any No

alcohol or controlled substance related

offense while operating a motor vehicle, or

are any charges pending?

4. Have you ever been convicted for No

possession, sale or transfer of an illegal

substance (including but not limited to,

marijuana, amphetamines, or derivatives

thereof), or are any charges pending?

5. Have you ever been convicted of No

reckless driving, careless driving or

careless operation of a motor vehicle, or

are any charges pending?

6. Have you ever tested positive, or No

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?

Vehicle Accident Record

Were you involved in any accidents/incidents with any vehicle in the last 3 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 felony? No

(Please note that a positive answer to this

question does not necessarily eliminate

you from further consideration).

Please describe. Be sure to include

specifics, the date of conviction, the fine or

sentence, if you were pardoned, etc.

Do you have any deferred prosecutions? No

Please describe. Be sure to include

specifics including the location, dates of

the deferral, etc.

Do you have any criminal charges No

pending?

Please describe. Be sure to include

specifics including the location, dates, etc.

Have you ever pled "guilty" to, been No

convicted of, or pled "no contest" to a

felony?

Please describe. Be sure to include

specifics, the date of conviction, the fine or

sentence, etc.

If you have any felony convictions, do you No

currently hold a ministers permit to enter or

exit Canada?

Have you ever pled guilty to, been No

convicted of, had prosecution deferred in

connection with, or pled "no contest" to a

misdemeanor?

Please describe. Be sure to include

specifics, the date of conviction, the fine or

sentence, etc.

Are you currently on criminal probation? No

Please describe. Be sure to include

specifics.

Federal FCRA Summary of Rights Acknowledgment

By checking this box, I acknowledge that I Yes

have read and understand the FCRA

Statement of Rights.

New Jersey Summary of Rights Acknowledgment

By checking this box, I acknowledge that I Yes

have read and understood the linked NJ

FCRA Summary of Rights.

Pre-Employment Screening Program Important Notice

I acknowledge that I have read and Yes

understand the above Important Notice of

Rights and also have been given the

opportunity to copy/print the notice.

User Requested Copy

User requested a copy to be sent to this Yes

email address

*****************@*****.***.

By my check of this box, I represent that I Yes

understand and agree to the above and

that I intend to execute this document by

electronic signature in checking this box.

Signature

Full Name Steve Joseph Hoegler, Sr.

Social Security Number 4694

Date of Birth

IP Address 70.196.15.237

Signature Date/Time 04-16-2015 3:12 PM

This certifies that this qualification form was completed by me, and

that all entries on it and information on it are true and complete to the

best of my knowledge.

Signed Date: 04-16-2015 3:12 PM

Signed:

CONSUMER REPORT DISCLOSURE AND RELEASE

In connection with your qualification form for contract for services with NFI and/or NFI Interactive Logistics LLC consumer reports may

be requested from HireRight (formerly USIS Commercial Services). These reports may include the following types of information:

names and dates of previous employers/contractors, reason for termination of employment/contract, work/contract experience,

accidents, academic history, professional credentials, and drugs/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 which 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.

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 sources of information and the recipients of any reports on you that HireRight

has previously furnished within the three-year period preceding your request. HireRight may be contacted by mail at P.O. Box 33181,

Tulsa, Oklahoma, 74153, or by phone at 800-***-****.

I AUTHORIZE, WITHOUT RESERVATION, HIRERIGHT, AND ANY PARTY OR AGENCY CONTACTED BY HIRERIGHT, TO

FURNISH THE ABOVE-MENTIONED INFORMATION. THIS AUTHORIZATION DOES NOT APPLY TO DRUG AND ALCOHOL

INFORMATION OBTAINED 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, and my employment/contract history (not DOT Drug and Alcohol information without a specific consent by me) with you if I am

contracted, will be supplied by HireRight to other companies which subscribe to HireRight. I hereby authorize procurement of

consumer report(s). If contracted, this authorization, for reports covered by this release only, shall remain on file and shall serve as

ongoing authorization for you to procure consumer reports at any time during my contract period.

Notice to California Applicants

Under California law, the consumer reports we order on you for contract purposes within the State of California are defined as

investigative consumer reports. These reports may contain information on your character, general reputation, personal characteristics

and mode of living. Under section 1786.22 of the California Civil Code, you may view the file maintained on you by Hire Right during

normal business hours. You may also obtain a copy of this file upon submitting proper identification and paying the costs of duplication

services, by appearing at HireRight in person or by mail. The agency is required to have personnel available to explain your file to you

and the agency must explain to you any coded information appearing in your file. If you appear in person, a person of your choice may

accompany you, provided that this person furnishes proper identification.

Printed Name: Steve Joseph Hoegler, Sr.

4796 Cedar Hill Drive

Steve Joseph Hoegler, Sr.

Po Box !99/ 76086

Social Security #: Weatherford, TX 76087

4694 785-***-****

Gender:

Signed Date: 04-16-2015

IMPORTANT NOTICE REGARDING BACKGROUND REPORTS FROM THE PSP

ONLINE SERVICE

1. In connection with your qualification for contract for services with NFI and/or NFI Interactive Logistics LLC, it may obtain one or

more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the qualification form is submitted in person, if NFI and/or NFI Interactive Logistics LLC uses any information it obtains from

FMCSA in a decision to not contract you or to make any other adverse decision regarding you, the NFI and/or NFI Interactive Logistics

LLC 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 NFI and/or NFI Interactive Logistics LLC 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 qualification form is submitted by mail, telephone, computer, or other similar means, if NFI and/or NFI Interactive Logistics

LLC uses any information it obtains from FMCSA in a decision to not contract you or to make any other adverse decision regarding

you, NFI and/or NFI Interactive Logistics LLC 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 NFI and/or NFI Interactive Logistics LLC who procured the report, then, within 3

business days of receiving your request, together with proper identification, NFI and/or NFI Interactive Logistics LLC must send or

provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

NFI and/or NFI Interactive Logistics LLC cannot obtain background reports from FMCSA unless you consent in writing.

If you agree that NFI and/or NFI Interactive Logistics LLC may obtain such background reports, please read the following and sign

below:

2. I authorize NFI and/or NFI Interactive Logistics LLC 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 consenting to 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 NFI

and/or NFI Interactive Logistics LLC to make a determination regarding my suitability as a contractor.

3. I further understand that neither NFI and/or NFI Interactive Logistics LLC 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 am challenging 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.

4. Please note: 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 FMCSR violations that have been adjudicated by a court of law will also appear, and

remain, on a PSP report.

I have read the above Notice Regarding Background Reports provided to me by NFI and/or NFI Interactive Logistics LLC and I

understand that if I sign this consent form, NFI and/or NFI Interactive Logistics LLC may obtain a report of my crash and inspection

history. I hereby authorize NFI and/or NFI Interactive Logistics LLC and its employees, authorized agents, and/or affiliates to obtain

the information authorized above.

Printed Name: Steve Joseph Hoegler, Sr.

4796 Cedar Hill Drive

Steve Joseph Hoegler, Sr.

Po Box !99/ 76086

Social Security #: Weatherford, TX 76087

4694 785-***-****

Gender:

Signed Date: 04-16-2015

TO BE READ AND SIGNED BY APPLICANT

I hereby request and authorize NFI and/or NFI Interactive Logistics LLC and their agents or contractors that receive this qualification form

to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited

to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past

work/contract experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other

information about me which may reflect upon my potential for qualification for contract of services gathered from any individual,

organization, entity, agency, or other source which may have knowledge concerning any such items of information.

I have completed this qualification form of my own free will and hold harmless of all liability all companies, agents and associated parties

for the use of this qualification form.

I have read and agree to the above release and I give permission to obtain consumer reports about me from HireRight (USIS/DAC).

Printed Name: Steve Joseph Hoegler, Sr. Signed Date: 04-16-2015

Social Security #: 4694

Signed:

Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing

Records

And changes in Parts 390 and 391 of the FMCSA

Steve Joseph Hoegler, Sr.

04-16-201*-****

X X

4796 Cedar Hill Drive

Date Social Security Number

Po Box !99/ 76086

Weatherford, TX 76087

785-***-****

Gender:

X Steve Joseph Hoegler, Sr. X

Print Name (First, MI, Last) Signature

I, the above mentioned signer, hereby authorize Tri-State Motor Transit Co.

To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances

testing/training records to NFI / NFI Interactive Logistics LLC (IC)

DOT DRUG, ALCOHOL, ACCIDENT HISTORY, AND COMPANY POLICY

RELEASE

I authorize, per 49 CFR Part 40, the release of information from my DOT regulated drug and alcohol testing

records by the carriers (company/school) listed to HireRight for the sole purpose of transmitting such records

to NFI and/or NFI Interactive Logistics LLC (9541), or directly to NFI and/or NFI Interactive Logistics LLC I

authorize release of the following information concerning DOT drug and alcohol testing violations including

pre-employment/contract tests during the past three years: (i) alcohol tests with a result of 0.04 or higher; (ii)

verified positive drug tests; (iii) refusals to be tested (including verified adulterated or substituted results); (iv)

other violations of DOT drug and alcohol testing regulations; (v) information obtained from previous employers

of a drug and alcohol rule violation(s); and (vi) documents, if any, of completion of a return-to-duty process

following a rule violation.

The information that I have authorized HireRight to review involves tests required by DOT. If any carrier

(company/school) listed above furnishes HireRight with information concerning items (i) through (vi) above, I

also authorize that carrier (company/school) to release and furnish the dates of my negative drug and/or

alcohol tests and/or tests with results below 0.04 during the three-year period and the name and phone

number of any substance abuse professional who evaluated me during the past three years.

In connection with your qualification form for contract for services with NFI and/or NFI Interactive Logistics

LLC, consumer reports may be requested from HireRight. These reports may include the following types of

information: names and dates of previous employers/contractors, reason for termination of

employment/contract, work/contract experience, accidents, academic history, professional credentials,

company policy violations, 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 which 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.

Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing

Records

And changes in Parts 390 and 391 of the FMCSA

Steve Joseph Hoegler, Sr.

04-16-201*-****

X X

4796 Cedar Hill Drive

Date Social Security Number

Po Box !99/ 76086

Weatherford, TX 76087

785-***-****

Gender:

X Steve Joseph Hoegler, Sr. X

Print Name (First, MI, Last) Signature

I, the above mentioned signer, hereby authorize Salem Carriers