route delivery
Resume:
Cardinal
Concord, NC *****
**-**-**** *:19:35PM CDT
IntelliApp (C)
Applicant opted out of D&A release authorization for the following individual employers / educational institutions. Express employment temp service
Personal Information
Referral Code: leadflex_sh_614_cdlocreg_charlottenc Name Daniel James Mclaughlin, Sr.
Residence 3 years or longer (If No,
previous addresses shown below)
No
Address 707 Hidden Creek Cir
City, State/Province Zip/Postal Salisbury, NC 28147 Country United States
Addresses Over last 3 years 319 Celeste Eufola Rd
Statesville Nc 28677
3-1985 To 5-2011
Addresses Over last 3 years Address 1
707 Hidden Creek Cir
Salisbury, NC 28147
United States
06-2012 to 04-2016
Address 2
319 Celeste eufola rd
Statesville, NC 28677
United States
04-1999 to 06-2012
SSN/SIN 6631
Date of Birth
Primary Phone 704-***-****
Cell Phone 704-***-****
Preferred method of contact Primary Phone
Best time to contact you Any
Email acuhba@r.postjobfree.com
Company Questions
GENERAL INFORMATION
What position are you applying for? Company Driver Are you legally eligible for employment in
the United States?
Yes
Do you read, write, and speak English? Yes
Have you ever been known by any other
name?
No
Enter name:
Were you referred by a Cardinal /
Greatwide employee?
No
Provide the Name
What type of employee referred you?
DRIVING EXPERIENCE
Do you have either 12 months tractor
trailer experience in past 36 months OR 24
months tractor trailer experience in past 60
months?
Yes
Licenses
List all driver licenses held in the past five years (include multiple licenses if you have them).
License Number 464
State/Province NC
Country United States
License Class Class A
License Expiration Date 12-10-2018
Physical Expiration Date 11-27-2015
Current License Yes
Commercial Driver License Yes
Endorsements
Tanker Endorsement Yes
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement Yes
Other Endorsement No
Employment / Unemployment
Unemployment
Start Date 03-2016
End Date 04-2016
Comment
Schneider National JCP
PLEASE DO NOT CONTACT
Company Schneider National JCP
Contact / Supervisor Name
Start Date 01-2016
End Date 02-2016
Address 1634 Salisbury Hwy
City, State/Province Zip/Postal Statesville, NC 28677 Country United States
Phone
Position Held
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 south,southeast
Miles driven weekly 1000-1500
Pay Range (cents/mile) 36
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 12-2015
End Date 12-2015
Comment
Unemployment
Start Date 08-2015
End Date 11-2015
Comment
Shuler meats inc
Company Shuler meats inc
Contact / Supervisor Name
Start Date 07-2015
End Date 08-2015
Address
City, State/Province Zip/Postal Thomasville, NC
Country United States
Phone
Position Held
Reason for leaving? HOME (FAMILY TIME)
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 SC,NC,VA
Miles driven weekly
Pay Range (cents/mile) 35
Most common truck driven
Most common trailer Reefer Trailer
Trailer length 45 to 52 feet
Pete Dawson southern foods PDC
Company Pete Dawson southern foods PDC
Contact / Supervisor Name
Start Date 01-2015
End Date 06-2015
Address
City, State/Province Zip/Postal Statesville, NC 28677 Country United States
Phone 704-***-****
Position Held
Reason for leaving? HOURS/PAY 3RD SHIFT
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 south
Miles driven weekly
Pay Range (cents/mile) 45
Most common truck driven
Most common trailer Reefer Trailer
Trailer length 45 to 52 feet
Truckmovers
Company Truckmovers
Contact / Supervisor Name
Start Date 05-2014
End Date 01-2015
Address
City, State/Province Zip/Postal Independence, MO 64057 Country United States
Phone 816-***-****
Fax 816-***-****
Position Held
Reason for leaving? no benifits
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 northeast,south northwest
Miles driven weekly
Pay Range (cents/mile) 42
Most common truck driven
Most common trailer Other
Trailer length Other
Express employment temp service
Company Express employment temp service
Contact / Supervisor Name
Start Date 06-2013
End Date 05-2014
Address
City, State/Province Zip/Postal Moorseville, NC 28115 Country United States
Phone 704-***-****
Position Held
Reason for leaving? lack of 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?
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
Subcontractor for satellite install (Directv & Dish network) Company Subcontractor for satellite install (Directv & Dish network)
Contact / Supervisor Name
Start Date 01-2010
End Date 05-2013
Address
City, State/Province Zip/Postal Hickory, NC
Country United States
Phone
Position Held
Reason for leaving? Lack of steady 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?
No
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
Yes
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 12-2009
End Date 12-2009
Comment Unemployed
Western Express
Company Western Express
Contact / Supervisor Name
Start Date 11-2009
End Date 11-2009
Address
City, State/Province Zip/Postal Nashville, TN 37209 Country United States
Phone 615-***-****
Fax 615-***-****
Position Held
Reason for leaving? better pay
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 53 feet or more
WTI Transport Inc
Company WTI Transport Inc
Contact / Supervisor Name
Start Date 08-2009
End Date 10-2009
Address
City, State/Province Zip/Postal Tuscaloosa, AL
Country United States
Phone 205-***-****
Fax 334-***-****
Position Held
Reason for leaving? Log disagreement
Were you terminated/discharged/laid off? Yes
Termination Explanation Log disagreement
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 South north Midwest
Miles driven weekly
Pay Range (cents/mile) 38
Most common truck driven
Most common trailer Flatbed
Trailer length 45 to 52 feet
Unemployment
Start Date 06-2009
End Date 07-2009
Comment Unemployed
Mulberry group temp service
PLEASE DO NOT CONTACT
Company Mulberry group temp service
Contact / Supervisor Name
Start Date 06-2008
End Date 06-2009
Address
City, State/Province Zip/Postal Statesville, NC 28677 Country United States
Phone
Position Held
Reason for leaving? Out of business
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? 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?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
Scope services
Company Scope services
Contact / Supervisor Name
Start Date 06-2008
End Date 06-2009
Address
City, State/Province Zip/Postal Cornelius, NC 28031 Country United States
Phone
Position Held
Reason for leaving? Laid off
Were you terminated/discharged/laid off? Yes
Termination Explanation Laid off
Is this your current employer? No
May we contact this employer at this time? Yes
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?
No
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
Trailer length
Unemployment
Start Date 09-2007
End Date 02-2008
Comment Unemployed
JB Hunt
Company JB Hunt
Contact / Supervisor Name
Start Date 07-2007
End Date 08-2007
Address
City, State/Province Zip/Postal Lowell, AR 72745
Country United States
Phone 800-***-****
Position Held
Reason for leaving? Laid off
Were you terminated/discharged/laid off? Yes
Termination Explanation Laid off
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?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile) 30
Most common truck driven
Most common trailer Flatbed
Trailer length 45 feet or longer
Southern pines (PGT TRUCKING )
Company Southern pines (PGT TRUCKING )
Contact / Supervisor Name
Start Date 08-2006
End Date 06-2007
Address
City, State/Province Zip/Postal Monaca, PA 15061
Country United States
Phone
Position Held
Reason for leaving? Local job
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) 32
Most common truck driven
Most common trailer Flatbed
Trailer length 45 feet or longer
Fed ex Ground
Company Fed ex Ground
Contact / Supervisor Name
Start Date 05-2006
End Date 08-2006
Address
City, State/Province Zip/Postal Charlotte, NC 28214 Country United States
Phone
Position Held
Reason for leaving? Can't do team driving
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
Yes
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?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile) 17
Most common truck driven
Most common trailer Doubles / Triples
Trailer length 40 to 41 feet
DM Bowman
Company DM Bowman
Contact / Supervisor Name
Start Date 02-2006
End Date 05-2006
Address
City, State/Province Zip/Postal Williamsport, MD 21795 Country United States
Phone 800-***-****
Fax 301-***-****
Position Held
Reason for leaving? Failure to report incident
Were you terminated/discharged/laid off? Yes
Termination Explanation Failure to report a incident 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?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile) 32
Most common truck driven
Most common trailer Dry Van
Trailer length 45 feet or longer
Cargo Transporters
Company Cargo Transporters
Contact / Supervisor Name
Start Date 10-2005
End Date 02-2006
Address
City, State/Province Zip/Postal Claremont, NC 28610 Country United States
Phone 828-***-****
Fax 828-***-****
Position Held
Reason for leaving? Better job
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?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile) 30
Most common truck driven
Most common trailer Dry Van
Trailer length 45 feet or longer
Dana/Spicer co
Company Dana/Spicer co
Contact / Supervisor Name
Start Date 02-2004
End Date 02-2005
Address
City, State/Province Zip/Postal Statesville, NC 28677 Country United States
Phone
Position Held
Reason for leaving? Company closed
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?
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
Crts inc
Company Crts inc
Contact / Supervisor Name
Start Date 04-2003
End Date 01-2004
Address
City, State/Province Zip/Postal Troutman, NC 28679 Country United States
Phone
Position Held
Reason for leaving? Laid off
Were you terminated/discharged/laid off? Yes
Termination Explanation Laid off
Is this your current employer? No
May we contact this employer at this time? Yes
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
Trucking School
Start Date 03-2005
End Date 10-2005
School Trans tech
City, State/Province Claremont, NC
Country United States
Phone
Did you graduate? Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while attending this truck
school?
Yes
Yes
Did you perform any safety sensitive
functions at this truck school, regulated by
DOT, and subject to drug and alcohol
testing?
GPA
Hours of Instruction
Border Crossing No
Log Books No
Federal Motor Carrier Regulations No
Hazardous Materials No
Education
School Name Career learning institute
Start Date 03-2008
End Date 05-2008
City, State/Province Columbus,, IN
Country United States
What did you study? HVAC
Phone
Graduation Date 05-2008
Education
School Name Trans tech inc
Start Date 08-2005
End Date 10-2005
City, State/Province Conover, NC
Country United States
What did you study? CDL School
Phone
Graduation Date 10-2005
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 5 years? No Violations
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
Certification 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 acuhba@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 Daniel James Mclaughlin, Sr.
IP Address 71.68.72.55
Signature Date/Time 04-04-2016 2:19 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: 04-04-2016 2:19 PM
Signed:
In connection with my application for employment with submission to Cardinal Logistics Management Corporation / Greatwide Dedicated Transport, that Cardinal Logistics Management Corporation / Greatwide Dedicated Transport and their respective agents may conduct an investigation into my background including my character, general reputation, work habits, performance and experience, along with reasons for termination of employment from previous employers.Further, I understand that inquiries may be conducted regarding my criminal record and driving history. I understand that truthfulness of every answer on my application may be verified. Further, I authorize respective agents to contact personal references; both listed as well as developed, companies, schools, medical facilities, law enforcement agencies and all state and federal government agencies, to furnish Cardinal Logistics Management Corporation / Greatwide Dedicated Transport any information they may have concerning me. In exchange for Cardinal Logistics Management Corporation / Greatwide Dedicated Transport considering me for employment or contract work, I hereby release Cardinal Logistics Management Corporation / Greatwide Dedicated Transport its agents and any persons or institutions who may be contacted as described herein from any liability as a result of the reporting of such information. I specifically waive any written notice from any present or former employer or customer who may provide information based upon this authorization. A photocopy of this authorization should be accepted with the same authority as the original.
I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all Federal Motor Carriers Safety Regulations and company policies. I understand that information I provided regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:
• Review information provided by previous employers; Have errors in the information corrected by previous employers and for those previous employers 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(s) and I cannot agree on the accuracy of the information.
•
I hereby acknowledge that I have been given a stand-alone consumer notification that a report may be requested and used for the purpose of evaluating me for employment, contract work, promotion, reassignment or retention. I acknowledge that this authorization is ongoing in the event such a report is needed in the future. Printed Name:
Daniel James Mclaughlin, Sr.
Social Security #:
6631
Signed Date: 04-04-2016
Daniel James Mclaughlin, Sr.
707 Hidden Creek Cir
Salisbury, NC 28147
Gender:
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Cardinal / Greatwide Logistics ("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 Cardinal / Greatwide Logistics ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.
I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. 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. Printed Name:
Daniel James Mclaughlin, Sr.
Signed Date: 04-04-2016
TO BE READ AND SIGNED BY APPLICANT
I understand that the information in this application will be used and that prior employers will be contacted for purposes of investigation as required by 391.23 of the Motor Carrier Safety Regulations. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination on the basis of age with respect to certain individuals as well as some additional types
Contact this candidate