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Class A Cdl

Location:
Newark, CA
Salary:
25.00
Posted:
June 19, 2024

Contact this candidate

Resume:

Swift Refrigerated

**** *. **** *****

West Valley City, UT 84120

855-***-****

**-**-**** *:37:06PM CST

IntelliApp (SR)

Thank you for your interest in Swift Transportation Co. of Arizona, 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.

Personal Information

Referral Code: IDPaidGoogleReeferBrandExperiencedNationalCoreMobile Name Richard Alegria Moreno

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

Current Address 7202 Dumas Pl

City, State/Province Zip/Postal Newark, CA 94560

Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 8505

Date of Birth

Primary Phone 510-***-****

Cell Phone 510-***-****

Preferred method of contact Email

Best time to contact you Afternoon

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

What is your Class A Driving Experience

Level?

Need Schooling to Obtain Class A CDL

By clicking the box below, I consent to

Swift Transportation and/or its affiliates

contacting me via email and/or phone to

inform me of employment opportunities.

Yes

By clicking the box below, I consent to

Swift Transportation and/or its affiliates

contacting me via text message to inform

me of employment opportunities.

Yes

1

Company Questions

Comments:

Please explain

Comments:

GENERAL INFORMATION

If you have spoken to a recruiter, please

select their name:

How did you hear about us? Facebook

If you selected Referral, CDL School,

Internet, or Other above, please provide

details to further clarify:

If you need to obtain your Class A CDL, do

you have your Permit?

No

Would you like to run as a team? No

Are you interested in being a Student

Driver Mentor?

Yes

What date will you be available to start? 03-11-2024 If hired, can you present evidence of your

U.S. Citizenship or proof of your legal right

to live and work in this country?

Yes

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:

Please enter the names of any relatives

employed here:

Have you ever used any illegal drug? No

When was the last time?

Comments:

Have you ever tested positive, or refused

to test on a pre-employment drug or

alcohol test by an employer to whom you

applied in the past ten years, or have you

ever tested positive or refused to test on

any mandated drug or alcohol test?

No

Please Explain

2

Have you ever been known by any other

name?

No

Enter name:

Name: Desiree Moreno

Address: 7202 Dumas Pl

City: Newark

State: CA

Zip: 94560

Relationship: Ex-wife

Phone Number: 1-510-***-****

Do you have any trailer hauling

experience?

Yes

Flatbed Yes

Van Yes

Tanker Yes

Reefer No

Hazmat No

Dropdeck No

Do you have any trailer preferences? Yes

Flatbed No

Van No

Tanker No

Reefer Yes

Hazmat No

Dropdeck No

EDUCATION

List highest grade completed: College - 2

Did you graduate from college? No

PERSONAL REFERENCES

Name: Desiree Moreno

Relationship: Ex-wife

Phone Number: 510-***-****

Name: Nicholas Moreno

Relationship: Son

Phone Number: 510-***-****

3

Number of DUIs

Number of moving violations in the past 2

years

Number of accidents in the past 2 years

Licenses

License Number 746

Licensing Authority CA

Country US

License Class

Original Issue Date 03-24-2021

License Expiration Date 02-26-2026

DOT Medical Card Expiration Date

Current License Yes

Commercial Driver License No

Endorsements None

Employment / Unemployment

UPS delivery helper seasonal

Company UPS delivery helper seasonal

Contact / Supervisor Name Dispatcher

Start Date 10-2023

End Date 02-2024

Address 5588 Cushing Pkwy

City, State/Province Zip/Postal Fremont, CA 44538 Country United States

Phone 800-***-****

Position Held Seasonal delivery helper

Reason for leaving? Temp work seasonal completed

Were you terminated/discharged/laid off? Yes

Termination Explanation Seasonal Xmas seasonal delivery helper job completed

Is this your current employer? No

May we contact this employer at this time? Yes

4

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 subject to drug and

alcohol testing?

Areas Driven

Miles driven weekly

Most common truck driven

Most common trailer

Trailer length

Unemployment

Start Date 06-2022

End Date 10-2023

Comment

Amazon newark

Company Amazon newark

Contact / Supervisor Name

Start Date 12-2021

End Date 05-2022

Address 38811 Cherry St.

City, State/Province Zip/Postal Newark, CA 94560- Country United States

Phone 510-***-****

Position Held Warehouse worker

Reason for leaving? Went to Philippines 9 months

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

5

this employer/contractor?

Did you perform any safety sensitive

functions in this job subject to drug and

alcohol testing?

Areas Driven

Miles driven weekly

Most common truck driven

Most common trailer

Trailer length

Unemployment

Start Date 12-2020

End Date 11-2021

Comment Retired

Unemployment

Start Date 10-2013

End Date 11-2020

Comment Retirement from City of San Jose

City Of San Jose

Company City Of San Jose

Contact / Supervisor Name

Start Date 11-1998

End Date 09-2013

Address 1737 N First st. Suite 600. Sa

Address 2 200 E Santa Clara st.

City, State/Province Zip/Postal San Jose, CA 95113 Country United States

Phone 408-***-****

Position Held Parking Compliance officer, Pavement dept., Signs n Markings

Reason for leaving? Retirement

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

6

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 San Jose

Miles driven weekly 0-500

Most common truck driven Dump Truck

Most common trailer Car Hauler

Trailer length 31 feet or less

Great America parks

Company Great America parks

Contact / Supervisor Name

Start Date 10-1990

End Date 10-1998

Address 4701 Great America Pkwy

City, State/Province Zip/Postal Santa Clara, CA 95054 Country United States

Phone 408-***-****

Position Held Sign maintenance dept.

Reason for leaving? Work full time at City of San Jose 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

Most common truck driven

7

Most common trailer

Trailer length

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)]

No

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

·

No

8

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

·

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

Signature

Full Name Richard Alegria Moreno

IP Address 70.249.171.34

Signature Date/Time 02-21-2024 5:37 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 on it are true and complete to the best of my knowledge. Signed Date: 02-21-2024 5:37 PM

Signed:

Federal FCRA Summary of Rights Acknowledgment

By checking this box, I acknowledge that I

have received and reviewed the attached

FCRA Statement of Rights.

Yes

CALIFORNIA DISCLOSURE REGARDING BACKGROUND CHECKS DOCUMENT Yes

9

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

read and understood this California

Disclosure Regarding Background Checks

document.

California Consumer Copy Request

California applicants or employees

only: Please check this box if you would

like to receive a copy of an investigative

consumer report or consumer credit report

at no charge if one is obtained by the

Company whenever you have a right to

receive such a copy under California law.

Yes

Notice to Applicants of Rights Under Section 615(a)(3). NOTICE TO APPLICANTS OF RIGHTS

UNDER Sec. 615(a)(3) OF THE FAIR

CREDIT

REPORTING ACT (15 U.S.C. Sec.

1681m)

To the extent you applied for a driving

position with Swift Refrigerated by mail,

telephone, facsimile, e-mail, computer, via

the internet, or other similar means, you

are hereby provided with notice of the

following:

(A) The name, address and

toll-free telephone number

of the consumer reporting

agencies that furnished

Swift with the report. Those

consumer reporting

agencies are:

(Provides

Verifynd and

all Criminal

Reports)

Asurint

Yes

10

P.O. Box

14730

Cleveland,

OH 44145

(800)

906-2034

www.asurint.com/Compliance.aspx

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

(Provides

MVR, CDLIS

and PRE

Report)

Tenstreet

120 W. 3rd

Street

Tulsa, OK

74103

877-***-****

(Provides

PRE Report)

CARCO/Driver

iQ

1070

Lillington

Highway

Spring Lake,

NC 28390

Toll Free

1-855-***-****

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

www.carcogroup.com

(B) To the extent that any

adverse action might be

taken based in whole or in

part on any consumer

report, the above listed

consumer reporting

agencies did not or will not

make the decision to take

the adverse action and

cannot or will not be able to

provide you with the specific

reasons why the adverse

action was or will be taken.

(C) Your right to obtain,

under section 612 [Sec.

1681j], a free copy of your

consumer report from the

consumer reporting agency

identified above, not later

than 60 days from receipt of

11

this notice and/or any notice

of an adverse action.

(D) Your right to dispute,

under section 611 [Sec.

1681i], with the consumer

reporting agencies the

accuracy or completeness

of any information in a

consumer report furnished

by the agency.

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 and Authorization to Conduct Background Investigation By my check of this box, I represent that I

understand and agree to the above FCRA

Disclosure and Authorization to Conduct

Background Investigation and that I intend

to execute this document by electronic

signature in checking this box.

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

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

Yes

12

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

User Requested Copy

User requested a copy to be sent to this

email address ********@*****.***.

Yes

13

BACKGROUND INFORMATION DISCLOSURE AND CONSENT

In connection with your employment or application for employment (including contract for services) through Swift Transportation Co. of Arizona, LLC, Knight-Swift Transportation Holdings and all subsidiaries and related entities, consumer reports (Investigative Consumer Reports in California) may be requested from Driver IQ and/or Asurint (collectively "Third Party Providers"). These reports may include the following types of information: names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and drug/alcohol use. Such reports may contain public record information concerning your driving record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies that maintain such records; as well as information from Third Party Providers concerning previous driving record requests made by others from such state agencies and state provided driving records. We also will obtain driving/accident and safety inspection history records maintained by the Federal Motor Carrier Safety Administration ("FMCSA"). You have the right to make a request to all potential third parties, upon proper identification, to request the nature and substance of all information in its files on you at the time of your request, including the explaining of any coded information, the sources of information and the recipients of any reports on you that Third Party Providers have previously furnished within the past two year period preceding your request (3 years in California). Driver IQ may be contacted by mail at 4500 South 129th East Ave, Suite 127, Tulsa, OK 74134 or by telephone at 800-***-****. Asurint may be contacted by mail at P.O. Box 14730, Cleveland, OH 44114 or by telephone at 800-***-****. Information about Driver IQ's privacy practice is available at http://www.carcogroup.com/privacy-policy.php.

I AUTHORIZE, WITHOUT RESERVATION, THIRD PARTY PROVIDERS, FMCSA AND ANY OTHER PARTY OR AGENCY CONTACTED BY DRIVER IQ AND/OR ASURINT TO FURNISH THE ABOVE MENTIONED INFORMATION. THIS AUTHORIZATION DOES NOT APPLY TO DRUG AND ALCOHOL INFORMATION CONTAINED UNDER PART I.

I hereby consent to your obtaining the above information from Third Party Providers, and I agree that such information which Third Party Providers have or obtain in my employment history (not DOT drug and alcohol information without a specific consent by me) with you if I am hired, will be supplied by Third Party Providers to other companies which subscribe to Third Party Providers. I hereby authorize procurement of consumer reports as set forth above.

If hired or contracted, this authorization for reports covered by this release only shall remain on file and shall serve as an ongoing authorization for you to procure consumer reports at any time during my employment or contract period. I consent to you obtaining the above information from FMCSA. I understand that the FMCSA maintains sole control over that data and you cannot change or alter such information. If I dispute any information maintained by FMCSA, I must personally contact the FMCSA by accessing the DataQs System at: https://dataqs.fmcsa.dot.gov.

Printed Name:

Richard Alegria Moreno

Social Security #:

8505

Signed Date: 02-21-2024

Richard Alegria Moreno

7202 Dumas Pl

Newark, CA 94560

510-***-****

Gender:

14

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Swift Refrigerated ("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 Swift Refrigerated ("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:

Richard Alegria Moreno

Signed Date: 02-21-2024

15

General Consent for Limited Queries of the FMCSA Drug and Alcohol Clearinghouse Knight-Swift Transportation Holdings, Inc.

I hereby provide consent to Knight-Swift Transportation Holdings, Inc., and its agents, subsidiaries, and assigns, including, but not limited to Swift Transportation Co. of Arizona, LLC, Kold Trans, Barr-Nunn Transportation Inc., Abilene Motor Express Inc., and Knight Transportation, Inc., (the "Company"), along with its Third-Party Administrators ("TPAs"), DriverFacts and Tenstreet, on the behalf of Company, to conduct a limited query of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug and/or alcohol violation information exists about me in the Clearinghouse. I understand and acknowledge that this consent is valid for both pre-employment limited inquiries, and if selected for hire, will remain in effect for the duration of my employment with the Company. I understand this consent is for multiple limited inquiries during the duration of my employment with the Company. I further understand that if I fail to sign below, the Company will prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle.

I also understand that, as part of the pre-employment process, a full query will be run before I am allowed to perform safety sensitive activities for the Company. Full queries require me to provide consent to the FMCSA Clearinghouse and that I may register with the FMCSA Clearinghouse at clearinghouse.fmcsa.dot.gov. I understand that if a limited query indicates that data exists in the Clearinghouse about me, a Full query will be requested. I will need to authorize release of data via the FMCSA Clearinghouse website within 24 hours. My failure to authorize release of data via the FMCSA Clearinghouse will prohibit me from performing safety-sensitive functions with and/or for the Company.

I further understand that if I refuse to provide consent for Company or its TPAs to conduct a limited or full query of the Clearinghouse, the Company must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA's drug and alcohol program regulations. 02-21-2024

Richard Alegria Moreno Date

16

BACKGROUND INFORMATION DISCLOSURE AND CONSENT

In connection with your employment or application for employment (including contract for services) through Swift Transportation Co. of Arizona, LLC, Knight-Swift Transportation Holdings and all subsidiaries and related entities, consumer reports (Investigative Consumer Reports in California) may be requested from Driver IQ and/or Asurint (collectively "Third Party Providers"). These reports may include the following types of information: names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and drug/alcohol use. Such reports may contain public record information concerning your driving record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies that maintain such records; as well as information from Third Party Providers concerning previous driving record requests made by others from such state agencies and state provided driving records. We also will obtain driving/accident and safety inspection history records maintained by the Federal Motor Carrier Safety Administration ("FMCSA"). You have the right to make a request to all potential third parties, upon proper identification, to request the nature and substance of all information in its files on you at the time of your request, including the explaining of any coded information, the sources of information and the recipients of any reports on you that Third Party Providers have previously furnished within the past two year period preceding your request (3 years in California). Driver IQ may be contacted by mail at 4500 South 129th East Ave, Suite 127, Tulsa, OK 74134 or by telephone at 800-***-****. Asurint may be contacted by mail at P.O. Box 14730, Cleveland, OH 44114 or by telephone at 800-***-****. Information about Driver IQ's privacy practice is available at http://www.carcogroup.com/privacy-policy.php.

I AUTHORIZE, WITHOUT RESERVATION, THIRD PARTY PROVIDERS, FMCSA AND ANY OTHER PARTY OR AGENCY CONTACTED BY DRIVER IQ AND/OR ASURINT TO FURNISH THE ABOVE MENTIONED INFORMATION. THIS AUTHORIZATION DOES NOT APPLY TO DRUG AND ALCOHOL INFORMATION CONTAINED UNDER PART I.

I hereby consent to your obtaining the above information from Third Party Providers, and I agree that such information which Third Party Providers have or obtain in my employment history (not DOT drug and alcohol information without a specific consent by me) with you if I am hired, will be supplied by Third Party Providers to other companies which subscribe to Third Party Providers. I hereby authorize procurement of consumer reports as set forth above.

If hired or contracted, this authorization for reports covered by this release only shall remain on file and shall serve as an ongoing authorization for you to procure consumer reports at any time during my employment or contract period. I consent to you obtaining the above information from FMCSA. I understand that the FMCSA maintains sole control over that data and you cannot change or alter such information. If I dispute any information maintained by FMCSA, I must personally contact the FMCSA by accessing the DataQs System at: https://dataqs.fmcsa.dot.gov.

Employer / Contractor / Educational Institution:

UPS delivery helper seasonal

Printed Name:

Richard Alegria Moreno

Social Security #:

8505

Signed Date: 02-21-2024

Richard Alegria Moreno

7202 Dumas Pl

Newark, CA 94560

510-***-****

Gender:

17

BACKGROUND INFORMATION DISCLOSURE AND CONSENT

In connection with your employment or application for employment (including contract for services) through Swift Transportation Co. of Arizona, LLC, Knight-Swift Transportation Holdings and all subsidiaries and related entities, consumer reports (Investigative Consumer Reports in California) may be requested from Driver IQ and/or Asurint (collectively "Third Party Providers"). These reports may



Contact this candidate