J&M Tank Lines
Birmingham, AL 35242
**-**-**** *:52:52AM CST
IntelliApp
Thank you for your interest in J & M Tank Lines. 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.
Personal Information
Name Andrew Anthony Clark
Current Address 803 Martin Luther King Dr
City, State/Province Zip/Postal Bainbridge, GA 39817 Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 3906
Date of Birth
Primary Phone 229-***-****
Email ***************@******.***
Yes, I agree to receive information
concerning future opportunities or
promotions from J&M Tank Lines by email
or other commercial electronic
communications.
Yes
Would you like to receive communication
from J&M Tank Lines 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 J&M
Tank Lines's service provider receives in
real time and logs your text messages with
J&M Tank Lines.
Yes
1
Company Questions
GENERAL INFORMATION
What position are you applying for? J&M Company Driver If you answered "Owner Operator" select
yes.
If you have your own base plate, please
enter:
What location are you applying for? Americus, GA
Do you have reliable transportation to
commute to/from work?
Yes
Are you legally eligible for employment in
the United States?
Yes
Are you currently employed? No
What date did your last employment end? 12-22-2023 Do you read, write, and speak English? Yes
Have you ever worked for this company
before?
No
Enter start and end dates, location,
position, 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? Driver Referral
If "Driver Referral", please enter the
driver's name
Keith Brown
If "Other", please explain
DRIVING EXPERIENCE
For each class of equipment, select years of experience. If no experience in a class, select "None".
Tractor and Semi-Trailer 10+ years
Tank Experience Less than 1 year
Other Hauled containers
List States Operated in for the last 5
Years:
Ga,Fla,S.C,N.C,Al,TN
Get in and out of a semi-truck? Yes
2
Could you do so with reasonable
accommodation? Please explain
Climb to heights of 12' or greater? Yes
Could you do so with reasonable
accommodation? Please explain
Get under unit to perform duties, such as
checking brakes and visual inspection of
equipment?
Yes
Could you do so with reasonable
accommodation? Please explain
Raise and lower trailer dollies when under
a load?
Yes
Could you do so with reasonable
accommodation? Please explain
Bend & Kneel repeatedly? Yes
Could you do so with reasonable
accommodation? Please explain
Apply enough pressure to release fifth
wheel pin?
Yes
Could you do so with reasonable
accommodation? Please explain
Repeatedly lift and carry hoses &
equipment weighing up to 70 lbs. per
item?
Yes
Could you do so with reasonable
accommodation? Please explain
Sit stationary in a driver's seat for long
periods of time?
Yes
Could you do so with reasonable
accommodation? Please explain
Be on duty the maximum hours allowed by
D.O.T. Hours of Service Regulations?
Yes
Could you do so with reasonable
accommodation? Please explain
Emergency Contact Name Juleah Clark
Emergency Contact Phone Number 850-***-****
Recruiter
Worklist
3
Licenses
License Number 377
Licensing Authority GA
Country United States
License Class Class A
License Expiration Date 07-08-2024
DOT Medical Card Expiration Date 05-08-2020
Current License Yes
Commercial Driver License Yes
Endorsements None
Employment / Unemployment
Freeport Transportation
Company Freeport Transportation
Start Date 05-2021
End Date 01-2024
Address P.O. BOX 186
City, State/Province Zip/Postal Rincon, GA 31326
Country United States
Phone 912-***-****
Fax 912-***-****
Position Held Company driver
Reason for leaving? Still here
Were you terminated/discharged/laid off? Yes
Termination Explanation Lost the biggest account we had that ran thur Bainbridge
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 Yes
4
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Areas Driven Ga,Fla,S.C,N.C,AL,TN
Miles driven weekly 2500-3000
Pay Range (cents/mile) Paid by the load
Most common truck driven Conventional Tractor
Most common trailer Container
Trailer length 32 to 44 feet
Freeport Transportation
Company Freeport Transportation
Start Date 10-2020
End Date 04-2021
Address 102 KELLY AVE.
City, State/Province Zip/Postal Rincon, GA 31326
Country United States
Phone 912-***-****
Position Held
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? 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 Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
5
Keystone Freight
Company Keystone Freight
Start Date 02-2020
End Date 09-2020
Address 2820 16th St
City, State/Province Zip/Postal N Bergen, NJ 7047
Country United States
Phone 201-***-****
Fax 201-***-****
Position Held Company driver
Reason for leaving? Still there lack of work
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
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 01-2020
End Date 01-2020
Comment Looking for work
Dtg
Company Dtg
Start Date 10-2019
6
End Date 12-2019
Address 3895 Spring Manor Court
City, State/Province Zip/Postal Loganville, GA 30052 Country United States
Phone 678-***-****
Position Held Driver
Reason for leaving? Seasonal
Were you terminated/discharged/laid off? Yes
Termination Explanation Work got slow
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 Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
R and D metals
Company R and D metals
Start Date 08-2019
End Date 09-2019
Address
City, State/Province Zip/Postal Thomasville, GA 31792 Country United States
Phone 229-***-****
Position Held Driver
Reason for leaving? Was not safe for driver
7
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 Day Cab
Most common trailer Other
Trailer length 45 to 52 feet
Unemployment
Start Date 07-2019
End Date 07-2019
Comment Seasonal work ended
Wood Resource Recovery
Company Wood Resource Recovery
Start Date 04-2019
End Date 06-2019
Address 6424 NW 18th Drive
City, State/Province Zip/Postal Gainesville, FL 32653 Country United States
Phone 352-***-****
Position Held Driver
Reason for leaving? Seasonal
Were you terminated/discharged/laid off? Yes
Termination Explanation Storm work
Is this your current employer? No
Yes
8
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
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Day Cab
Most common trailer Other
Trailer length 45 to 52 feet
Truline Corporation
Company Truline Corporation
Start Date 07-2017
End Date 03-2019
Address 9390 Redwood Street
City, State/Province Zip/Postal Las Vegas, NV 89139 Country United States
Phone 702-***-****
Fax 702-***-****
Position Held Driver
Reason for leaving? Moved back 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
9
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 Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Truline Corporation
Company Truline Corporation
Start Date 09-2018
End Date 02-2019
Address 9390 Redwood Street
City, State/Province Zip/Postal Las Vegas, NV 89139 Country United States
Phone 702-***-****
Fax 702-***-****
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? 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 Tractor-Trailer
10
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Truline Driver Solutions
PLEASE DO NOT CONTACT
Company Truline Driver Solutions
Start Date 07-2017
End Date 08-2018
Address McDonough
City, State/Province Zip/Postal Las Vegas, NV
Country United States
Phone 877-***-****
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 Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Dtg
Company Dtg
Start Date 10-2016
End Date 06-2017
Address Atlanta
11
City, State/Province Zip/Postal Atlanta, GA
Country United States
Phone 850-***-****
Position Held Driver
Reason for leaving? Seasonal
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 Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Euromex of ga
Company Euromex of ga
Start Date 02-2014
End Date 09-2016
Address 4068 Keswick Dr se
City, State/Province Zip/Postal Atlanta, GA 30339
Country United States
Phone 770-***-****
Position Held Owner operater
Reason for leaving? Couldn't afford to get truck fixed Were you terminated/discharged/laid off? No
Is this your current employer? No
Yes
12
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
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Other
Trailer length 40 feet or more
Wood resource recovery
Company Wood resource recovery
Start Date 03-2013
End Date 12-2014
Address 10606 n state rd 121
City, State/Province Zip/Postal Gainesville, FL 32653 Country United States
Phone 904-***-****
Position Held Driver
Reason for leaving? Job moved back to Gainesville
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,
Yes
13
and subject to drug and alcohol testing?
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Other
Trailer length 40 feet or more
Pfg
Company Pfg
Start Date 10-2010
End Date 02-2013
Address 211 Alton hall rd
City, State/Province Zip/Postal Cairo, GA 39828
Country United States
Phone 229-***-****
Position Held Driver
Reason for leaving? Moved to Atlanta
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 Reefer Trailer
Trailer length 45 to 52 feet
Unemployment
14
Start Date 05-2010
End Date 09-2010
Comment Was out of work
Cone distribution
Company Cone distribution
Start Date 09-2008
End Date 04-2010
Address 3214 w Tharp st
City, State/Province Zip/Postal Tallahassee, FLORIDA 32303 Country Afghanistan
Phone 850-***-****
Position Held Driver
Reason for leaving? Changed cdl
Were you terminated/discharged/laid off? Yes
Termination Explanation Changed my cdl and didn't notify company
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 Other
Trailer length 32 to 44 feet
Cone distribution
Company Cone distribution
Start Date 09-2008
15
End Date 04-2010
Address 3214 w Tharp st.
City, State/Province Zip/Postal Tallahassee, FL 32303 Country United States
Phone 850-***-****
Position Held Driver
Reason for leaving? Discharged for changing cdl
Were you terminated/discharged/laid off? Yes
Termination Explanation Moved back to ga and didn't notify company
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 Other
Trailer length 32 to 44 feet
Unemployment
Start Date 06-2007
End Date 08-2008
Comment Was out of work
16
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): Child support 2014
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
·
No
17
Leaving the scene of an accident
while operating a commercial motor
vehicle
·
Or any other felony involving the
use of a commercial motor vehicle
·
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
Signature
Full Name Andrew Anthony Clark
IP Address 174.215.179.9
Signature Date/Time 01-10-2024 8:52 AM
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 18
entries on it and information in it are true and complete to the best of my knowledge.
Signed Date: 01-10-2024 8:52 AM
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
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
Yes
19
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.
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
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
Summary of Rights Under 15 U.S.C. Section 1681m(a) By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under 15 U.S.C.
Section 1681m(a) and have been given
the opportunity to copy/print the 1681m
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
INVESTIGATIVE CONSUMER REPORT DISCLOSURE
By checking this box, I represent that I
understand and agree to the above
Investigative Consumer Report
Disclosure.
Yes
User Requested Copy
User requested a copy to be sent to this
email address
Yes
20
***************@******.***.
21
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment or owner-operator (independent contractor) application, J & M Tank Lines may order one or more consumer report(s) (commonly known as "background reports" or "background checks") about you from one or more consumer reporting agencies. If you are hired or engaged as an owner-operator (independent contractor), additional consumer reports may be obtained in connection with and throughout your employment for employment purposes or for the legitimate business purpose of evaluating you as an owner-operator.
To the extent allowed by law, the consumer reports may include information concerning your character, general reputation, personal characteristics, mode of living, drug and alcohol test results, motor vehicle records, driving records, criminal history, public court records, employment history (including names and dates of previous employers, reason for termination of employment, work experience, and accidents), social security number validation, education, licensure, or verification of other information supplied by you. Such reports may be obtained from private and public record sources, including sanctions databases, CDLIS (including but not limited to CDLIS Central Site, CDLIS Master Pointer Record data and your driver record from the jurisdiction identified in the CDLIS data, in accordance with applicable state law and the Driver Privacy Protection Act), former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:
Andrew Anthony Clark
Social Security #:
3906
Signed Date: 01-10-2024
Andrew Anthony Clark
803 Martin Luther King Dr
Bainbridge, GA 39817
Gender:
22
AUTHORIZATION FOR CONSUMER REPORTS
I authorize J & M Tank Lines to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired or engaged as an owner-operator (independent contractor), I understand this authorization shall remain on file and shall serve as ongoing authorization for additional consumer reports or investigative consumer reports to be obtained from any consumer reporting agency at any time during my employment or contract period without asking me for authorization again. Printed Name:
Andrew Anthony Clark
Social Security #:
3906
Signed Date: 01-10-2024
Andrew Anthony Clark
803 Martin Luther King Dr
Bainbridge, GA 39817
Gender:
23
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with J&M Tank Lines ("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