Swift Refrigerated
West Valley City, UT 84120
**-**-**** *: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
(Provides
PRE Report)
CARCO/Driver
iQ
1070
Lillington
Highway
Spring Lake,
NC 28390
Toll Free
********@**********.***
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
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
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