Centerline Drivers, LLC.
Santa Ana, CA 92701
**-**-**** *:14:35PM CST
IntelliApp
Thank you for your interest in Centerline Drivers, LLC. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application 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.
If due to a disability, I am unable to complete the application process, I agree to notify the Company so that we may discuss options for a reasonable accommodation. Active Jobs
Job Name NOV - 2192 - Hot Job - SGWS - Jacksonville, FL Job Title Local Class B CDL Box Truck Driver
Personal Information
Referral Code: jp_indeed
Name Ty Canaday
Residence 3 years or longer (If No,
previous addresses shown below)
No
Current Address 310 Sw Lakeview Ave
City, State/Province Zip/Postal Lake City, FL 32025 Country United States
Addresses Over last 3 years Address 1
310 Sw Lakeview Ave
Lake City, FL 32025
United States
03-2022 to 11-2023
Address 2
15805 sr 121 lot 3
Macclenny, FL 32063
United States
04-1990 to 03-2022
SSN/SIN 6376
Date of Birth
Primary Phone 904-***-****
Cell Phone 904-***-****
1
Preferred method of contact Email
Best time to contact you Any
Email ad1dut@r.postjobfree.com
Cell Phone Provider 904-***-****
Yes, I agree to receive information
concerning future opportunities or
promotions from Centerline Drivers, LLC.
by email or other commercial electronic
communications.
Yes
Would you like to receive communication
from Centerline Drivers, LLC. via text
message?
By participating, you consent to receive
text messages sent by an automatic
telephone dialing system, which may
contain recruiting/advertising messages.
Consent to these terms is not a condition
of being hired, contracted, or leased. You
may opt out at any time by texting STOP to
unsubscribe. You also agree that
Centerline Drivers, LLC.'s service provider
receives in real time and logs your text
messages with Centerline Drivers, LLC..
Yes
Company Questions
Ad Number Recruiter
GENERAL INFORMATION
What location are you applying for? FL, Jacksonville If hired, can you present evidence of your
right to work in the U.S.?
Yes
Are you currently employed? No
What date did your last employment end? 11-03-2023 Are you able to perform the essential
functions of the job for which you are
applying, either with or without reasonable
accommodation?
Yes
Please describe the functions that cannot
be performed. (Note: We comply with the
ADA and consider reasonable
accommodation measures that may be
necessary for eligible
applicants/employees to perform essential
functions. Hire may be subject to passing a
medical examination, and skill and/or
agility tests.)
2
Have you ever worked for this company
before?
No
Enter start and end dates, location,
position, and reason for leaving:
Are you a veteran? Yes
Do you have a Hazmat Endorsement? No
Do you have a Tanker Endorsement? Yes
Do you have a Double Endorsement? Yes
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 Centerline? Indeed.com
If you chose "Referral" or "Other", 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 Since 1088
Tractor and Semi-Trailer Since 1995
Tractor - Two Trailers None
Other Tanker/flatbed less than 6 months
EDUCATION
List highest grade completed: College - 3
List last school attended (name, city, and
state):
FSCJ
EMERGENCY CONTACT
Name: Brandi Harvey
Phone Number: 386-***-****
Google Tracking
3
Licenses
List all driver licenses that you have held in the past License Number 390
Licensing Authority FL
Country United States
License Class Class A
Original Issue Date
License Expiration Date 04-19-2028
DOT Medical Card Expiration Date 04-30-2020
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
Envirowaste Services
PLEASE DO NOT CONTACT
Company Envirowaste Services
Start Date 11-2023
End Date 11-2023
Address
City, State/Province Zip/Postal Orlando, FL
Country United States
Phone 407-***-****
Fax 877-***-****
Position Held Driver
Reason for leaving? Need better paying job
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
No
4
May we contact this employer at this time?
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 North Florida
Miles driven weekly 500-1000
Most common truck driven Class B Vehicle
Most common trailer Other
Trailer length 31 feet or less
Pettyone
PLEASE DO NOT CONTACT
Company Pettyone
Start Date 01-2023
End Date 10-2023
Address 900 canal
City, State/Province Zip/Postal Jacksonville, FL 32209 Country United States
Phone 904-***-****
Position Held Linehaul driver
Reason for leaving? Transit time and lack of work
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?
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
Yes
5
subject to drug and alcohol testing?
Areas Driven Jacksonville to Tampa
Miles driven weekly 2000-2500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Petty One LLC
PLEASE DO NOT CONTACT
Company Petty One LLC
Start Date 08-2020
End Date 12-2022
Address 900 Canal Street
City, State/Province Zip/Postal Jacksonville, FL 32209 Country United States
Phone 904-***-****
Position Held Linehaul driver
Reason for leaving? Looking for better pay job with benefits 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 Florida
Miles driven weekly 2000-2500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Pritchett Trucking Inc.
Company Pritchett Trucking Inc.
6
Start Date 07-2020
End Date 08-2020
Address 1050 SE 6th Street
City, State/Province Zip/Postal Lake Butler, FL 32054 Country United States
Phone 386-***-****
Fax 386-***-****
Position Held Driver
Reason for leaving? Looking for better pay
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
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 1500-2000
Most common truck driven Tractor-Trailer
Most common trailer Other
Trailer length 53 feet or more
Pritchett Trucking Inc.
Company Pritchett Trucking Inc.
Start Date 07-2020
End Date 07-2020
Address 1050 SE 6th Street
City, State/Province Zip/Postal Lake Butler, FL 32054 Country United States
Phone 386-***-****
Fax 386-***-****
Position Held
7
Reason for leaving? Looking for something with different hours Were you terminated/discharged/laid off? No
Is this your current employer? Yes
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 1500-2000
Most common truck driven Tractor-Trailer
Most common trailer Other
Trailer length 53 feet or more
MPW Industrial Services
Company MPW Industrial Services
Start Date 06-2020
End Date 06-2020
Address 9711 Lancaster Rd SE
City, State/Province Zip/Postal Hebron, OH 43025
Country United States
Phone 740-***-****
Fax 614-***-****
Position Held Driver
Reason for leaving? Looking for full time driving position Were you terminated/discharged/laid off? No
Is this your current employer? Yes
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
Yes
8
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
Most common truck driven Tractor-Trailer
Most common trailer Other
Trailer length 53 feet or more
Unemployment
Start Date 05-2020
End Date 05-2020
Comment Had surgery
Unemployment
Start Date 02-2020
End Date 04-2020
Comment Had to have surgery before I resigned my
position.
Baker Salvage
Company Baker Salvage
Start Date 01-2014
End Date 02-2020
Address 7182 E. Mt. Vernon St.
City, State/Province Zip/Postal Glen St.mary, FL 32063 Country United States
Phone 904-***-****
Position Held Driver
Reason for leaving? Downsizing
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
Yes
9
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 2000-2500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
TransForce, Inc.
Company TransForce, Inc.
Start Date 03-2012
End Date 01-2014
Address Blanding Blvd Orange Park Fl
City, State/Province Zip/Postal Alexandria, VA
Country United States
Phone
Position Held Driver
Reason for leaving? Took job closer to 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
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 2000-2500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
10
Crews Logistics
Company Crews Logistics
Start Date 01-2009
End Date 02-2012
Address North Lowder Street
City, State/Province Zip/Postal Macclenny, FL 32063 Country United States
Phone 904-***-****
Position Held Driver
Reason for leaving? Company went under
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 2000-2500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
FMCSR
Under FMCSR 391.15, are you currently
disqualified from driving a commercial
motor vehicle? [49 CFR 391.15]
No
Has your license, permit or privilege to
drive ever been suspended or revoked for
any reason? [49 CFR 391.21(b)(9)]
Yes
Please provide additional detail, including the dates of the suspension(s)/revocation(s): Dot physical not attached was unaware
11
Have you ever been denied a license,
permit, or privilege to operate a motor
vehicle?[49 CFR 391.21(b)(9)]
No
Within the past two years, have you 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? [49 CFR 40.25(j)]
No
In the past three(3) years, have you ever
been convicted of any of the following
offenses: [49 CFR 391.15]:
Driving a commercial motor vehicle
with a blood alcohol concentration
("BAC") of .04 percent or more
·
Driving under the influence of
alcohol, as prescribed by state law
·
Refusal to undergo drug and
alcohol testing as required by any
jurisdiction for the enforcement of
Federal Motor Carrier Safety Act
regulations
·
Driving a commercial motor vehicle
under the influence of any 21
C.F.R. 1308.11 Schedule I
identified controlled substance, an
amphetamine, a narcotic drug, a
formulation of an amphetamine, or
a derivative of a narcotic drug
·
Transportation, possession, or
unlawful use of a 21 C.F.R.
1308.11 Schedule I identified
controlled substance,
amphetamines, narcotic drugs,
formulations of an amphetamine, or
derivatives of narcotic drugs while
you were on duty driving for a
motor carrier
·
Leaving the scene of an accident
while operating a commercial motor
vehicle
·
Or any other felony involving the
use of a commercial motor vehicle
·
No
12
Vehicle Accident Record
Were you involved in any accidents/incidents with any vehicle in the last 3 years (even if not at fault)?
Type of Accident / Incident Non-Injury
Date of Accident / Incident 12-2015
Hazmat Accident / Incident No
Was the vehicle towed away? No
City
State/Province NC
Were you in a commercial vehicle? Yes
If yes, was this a Department of
Transportation recordable accident?
Yes
Were you at fault? Yes
Were you ticketed? Yes
Description slow speed coming to a stop at stop sign behind a vehicle lightly rearended as driver
stopped short.
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? Violation Date 12-2015
Charge / Description Other
Violation State/Province NC
In Commercial Vehicle Yes
Fined? Yes
License Suspended?
License Revoked?
Perform Community Service?
Other Penalty?
Fine Amount (if any): 100 - $199
Comments: Had fender bender unsurecwhat ticket said no injuries
13
Signature
Full Name Ty Canaday
IP Address 2601:343:c200:45
Signature Date/Time 11-08-2023 5:14 PM
By signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. 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. I understand that information I provide 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.
·
Signed Date: 11-08-2023 5:14 PM
Signed:
Federal FCRA Summary of Rights Acknowledgment
By checking this box, I (a) acknowledge
that I have read and understand the
federal FCRA Summary of Rights and
have been given the opportunity to
copy/print the Summary of Rights and (b)
agree to use an electronic signature to
demonstrate my consent. An electronic
signature is as legally binding as an ink
signature.
Yes
CALIFORNIA DISCLOSURE REGARDING BACKGROUND CHECKS DOCUMENT By checking the box, I 1) agree to use an
electronic signature to demonstrate my
consent, 2) agree that an electronic
signature is as legally binding as an ink
signature, and 3) acknowledge that I have
Yes
14
read and understood this California
Disclosure Regarding Background Checks
document.
Massachusetts Criminal Policy and Record Correction Acknowledgment By checking the box, I (a) acknowledge
that I have read and understand the
Company's Massachusetts Criminal
Record Policy and Information Concerning
the Process in Correcting a Criminal
record and have also been given the
opportunity copy/print both, and (b) agree
to use an electronic signature to
demonstrate my consent. An electronic
signature is as legally binding as an ink
signature.
Yes
New Jersey Summary of Rights Acknowledgment
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under New Jersey's
Fair Credit Reporting Act and also have
been given the opportunity to copy/print
the Summary of Rights, and (b) agree to
use an electronic signature to demonstrate
my acknowledgment. An electronic
signature is as legally binding as an ink
signature.
Yes
New York State Article 23-A Notice
By checking the box, I (a) acknowledge
that I have read and understand the New
York State Correction Law Article 23-A and
have been given the opportunity to
copy/print it and (b) agree to use an
electronic signature to demonstrate my
acknowledgment. An electronic signature
is as legally binding as an ink signature.
Yes
Washington Summary of Rights Acknowledgment
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under Washington's
Fair Credit Reporting Act and have been
given the opportunity to copy/print the
Summary of Rights and (b) agree to use
Yes
15
an electronic signature to demonstrate my
acknowledgment. An electronic signature
is as legally binding as an ink signature.
PSP Disclosure and Authorization
By checking the box, I (a) acknowledge
that I have read and understand the PSP
Disclosure and Authorization and also
have been given the opportunity to
copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
FCRA Disclosure
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
FCRA Authorization
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
Employment Verification Acknowledgment and Release (DOT Drug and Alcohol) By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
Clearinghouse Release
Yes
16
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Summary of Rights Under 15 U.S.C. Section 1681m(a) By checking this box, I represent that I
understand and agree to the above
language.
Yes
NYC Authorization
By checking this box, I represent that I
understand and agree to the above
language.
Yes
NV Background Disclosure-Authorization
By checking this box, I represent that I
understand and agree to the above
language.
Yes
MD Background Disclosure-Authorization
By checking this box, I represent that I
understand and agree to the above
language.
Yes
NH Background Disclosure-Authorization
By checking this box, I represent that I
understand and agree to the above
language.
Yes
User Requested Copy
User requested a copy to be sent to this
email address ad1dut@r.postjobfree.com.
Yes
17
Centerline (the "Company") may request, for lawful employment purposes, background information about you from a consumer reporting agency in connection with your employment or application for employment (including independent contractor assignments, as applicable). This background information may be obtained in the form of consumer reports and/or investigative consumer reports (commonly known as "background reports"). An "investigative consumer report" is a background report that includes information from personal interviews (except in California, where that term includes background reports with or without information obtained from personal interviews), the most common form of which is checking personal or professional references. These background reports may be obtained at any time after receipt of your authorization and, if you are hired or engaged by the Company, throughout your employment or your contract period, as allowed by law.
The background report may contain information concerning your character, general reputation, personal characteristics, and mode of living. The types of information that may be obtained include, but are not limited to: employment history
(e.g., dates of employment, final salary information, performance-related information, reasons for departure, etc.); personal and professional reference checks; and other information bearing on your character, general reputation, personal characteristics, and mode of living.
This information may be obtained from private and public record sources, including, as appropriate: government agencies and courthouses; educational institutions; former employers; and, for investigative consumer reports, personal interviews with sources such as neighbors, friends, former employers and associates; and other information sources provided as references. The Company is not intending to collect, and will not be requesting, any information bearing on your credit worthiness, credit standing, or credit capacity, unless it otherwise notifies you prior thereto in writing. You may request more information about the nature and scope of an investigative consumer report, if any, by contacting the Company.
A summary of your rights under the Fair Credit Reporting Act is also being provided to you. Printed Name:
Ty Canaday
Social Security #:
6376
Signed Date: 11-08-2023
Ty Canaday
310 Sw Lakeview Ave
Lake City, FL 32025
Gender:
DISCLOSURE REGARDING BACKGROUND INVESTIGATION 18
ACKNOWLEDGMENT AND AUTHORIZATION
I have carefully read and understand the Disclosure Regarding Background Investigation and the attached summary of rights under the Fair Credit Reporting Act. By my signature below, I consent to preparation of background reports by a consumer reporting agency such as Asurint and/or HireRight, and to the release of such background reports to the Company and its designated representatives and agents, for the purpose of assisting the Company in making a determination as to my eligibility for employment, promotion, retention or for other lawful employment purposes. I understand that if the Company hires me, my consent will apply, and the Company may, as allowed by law, obtain additional background reports pertaining to me, without asking for my authorization again, throughout my employment or contract period from Asurint, HireRight and/or other consumer reporting agencies. I also understand that nothing herein shall be construed as an offer of employment. By my signature below, I certify the information I provided on and in connection with this form is true, accurate, and complete. I agree that this form in original, faxed, photocopied or electronic (including electronically signed) form, will be valid for any background reports that may be requested by or on behalf of the Company. Printed Name:
Ty Canaday
Social Security #:
6376
Signed Date: 11-08-2023
Ty Canaday
310 Sw Lakeview Ave
Lake City, FL 32025
Gender:
DISCLOSURE REGARDING BACKGROUND INVESTIGATION 19
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Centerline Drivers, 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. 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 Centerline Drivers, LLC. ("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