Truck Driver United States
Resume:
Ryder Integrated Logistics, Inc.
DOT#******
Miami, FL 33178
**-**-**** *:46:02AM CDT
IntelliApp
Personal Information
Name Bud Robert Moyer
Current Address **** ****** ***ntain Road
City, State/Province Zip/Postal Martinsville, VA 24112 Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 2200
Date of Birth
Primary Phone 276-***-****
Cell Phone 276-***-****
Preferred method of contact Cell Phone
Best time to contact you Any
Email *********@*****.***
Company Questions
GENERAL INFORMATION
Applicant Type: Truck Driver
If you answered YES to the question
above, will you require now or in the near
future employment visa sponsorship (i.e.,
H-1B visa)?
Are you currently employed? Yes
What date did your last employment end?
Do you read, write, and speak English? Yes
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
1
Enter name:
Please enter the names of any relatives
employed here:
None
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 Van 3K
Tractor and Semi-Trailer Van 800K
Reefer 200K
Cargo master Crane 200K
Tractor - Two Trailers 0
Other 0
Which safe driving awards do you hold and
from whom?
3 yr safe driving -BB trucking 2024
EQUIPMENT (OWNER/OPERATORS ONLY)
Equipment Description (Tractor):
Type:
Year:
Make:
Model:
Color:
VIN:
Weight
Mileage
Fifth Wheel Height
First Reference:
Have you completed your registration for
the FMCSA Drug & Alcohol
Clearinghouse?
Yes
Applicant Workflow ID 3634025
Person ID 2340832
System ID 3634025
2
Licenses
License Number 602
Licensing Authority VA
Country US
License Class Class A
Original Issue Date 11-25-2020
License Expiration Date 06-25-2025
DOT Medical Card Expiration Date 03-01-2025
Current License Yes
Commercial Driver License Yes
Endorsements None
Restrictions
No Night Driving No
Corrective Lenses No
No Air Brakes No
No Manual Transmission No
Other Restriction No
Employment / Unemployment
Bb Trucking
Company Bb Trucking
Contact / Supervisor Name
Start Date 11-2018
End Date 07-2024
Address 6147 TECHNOLOGY Ave
City, State/Province Zip/Postal Kalamazoo, MI 49009 Country United States
Phone 269-***-****
Position Held Driver mentor, yard supervisor, contract mail truck driver
Reason for leaving? Company lost bid to renew contract with postal service
Were you terminated/discharged/laid off? No
Is this your current employer? No
Yes
3
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 48 states but primary east coast
Miles driven weekly 2500-3000
Pay Range (cents/mile) $36.50 hourly
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Logistics & Distribution Services
Company Logistics & Distribution Services
Contact / Supervisor Name
Start Date 03-2015
End Date 07-2024
Address 1755 Purina Way
City, State/Province Zip/Postal Sparks, NV 89431
Country United States
Phone 775-***-****
Fax 775-***-****
Position Held Otr truck driver
Reason for leaving? more reliable equipment. Better schedule 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
4
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven Continental Usa but primarily east coast Miles driven weekly 3000-3500
Pay Range (cents/mile) .45- .50 cpm
Most common truck driven Conventional Tractor
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Logistics & Distribution Services
Company Logistics & Distribution Services
Contact / Supervisor Name
Start Date 03-2015
End Date 06-2017
Address 1755 Purina Way
City, State/Province Zip/Postal Sparks, NV 89431
Country United States
Phone 775-***-****
Fax 775-***-****
Position Held otr/regional driver
Reason for leaving? more consistent work schedule
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 Midwest and east coast regional
Miles driven weekly 2000-2500
Pay Range (cents/mile) .45 &.50 cpm
5
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Tennessee Transportation/Ashleys transportation
Company Tennessee Transportation/Ashleys
transportation
Contact / Supervisor Name
Start Date 12-2014
End Date 02-2015
Address 1650 Antioch Pike
City, State/Province Zip/Postal Nashville, TN
Country United States
Phone
Position Held Driver OTR
Reason for leaving? Poorly maintained equipment
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 All
Miles driven weekly 3000-3500
Pay Range (cents/mile) .43 cpm
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Transcorp Carriers Inc
Company Transcorp Carriers Inc
Contact / Supervisor Name
6
Start Date 07-2014
End Date 12-2014
Address 2801 immanuel rd
City, State/Province Zip/Postal Greensboro, NC
Country United States
Phone 336-***-****
Position Held otr driver
Reason for leaving? pay
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven all 48
Miles driven weekly 2500-3000
Pay Range (cents/mile) .32-.34
Most common truck driven Conventional Tractor
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Unemployment
Start Date 05-2012
End Date 06-2014
Comment not really unemployed. was retired military and also worked taking care of my
youngest brother who suffered a critical fall
from a truck and was paralyzed. i also cred
for my uncle who was bed ridden and was
the care provider for both of them. they
both passed my brother in 2011 and my
uncle 2014
Clark Transfer
7
Company Clark Transfer
Contact / Supervisor Name
Start Date 05-2011
End Date 05-2012
Address 800 A Paxton St
City, State/Province Zip/Postal Harrisburg, PA 17104 Country United States
Phone 800-***-****
Fax 717-***-****
Position Held part time casual driver
Reason for leaving? care for terminally ill family members 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 all
Miles driven weekly 500-1000
Pay Range (cents/mile) .34 cpm
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Overbye Transport Inc.
Company Overbye Transport Inc.
Contact / Supervisor Name
Start Date 08-2008
End Date 05-2011
Address 21881 Grenada Ave
City, State/Province Zip/Postal Lakeville, MN 55044 8
Country United States
Phone 952-***-****
Fax 952-***-****
Position Held owner operator
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
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 all 48
Miles driven weekly 3500+
Pay Range (cents/mile) $1.95 plus fsc
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Carroll Fulmer Logistics
Company Carroll Fulmer Logistics
Contact / Supervisor Name
Start Date 02-2008
End Date 07-2008
Address 8340 American Way
City, State/Province Zip/Postal Groveland, FL 34736 Country United States
Phone 352-***-****
Position Held owner operator
Reason for leaving? company wanted part of FSC
Were you terminated/discharged/laid off? No
Is this your current employer? No
9
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 All
Miles driven weekly 3000-3500
Pay Range (cents/mile) Percentage
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Tri State Expedited Services
Company Tri State Expedited Services
Contact / Supervisor Name
Start Date 11-2007
End Date 02-2008
Address 27681 Cummings Rd.
City, State/Province Zip/Postal Millbury, OH 43447 Country United States
Phone 419-***-****
Fax 419-***-****
Position Held expedited freight contractor
Reason for leaving? freight not commensurate to a solo driver 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
10
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven all
Miles driven weekly 1000-1500
Pay Range (cents/mile) $2.50 cpm plus fsc
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
UPS Freight
Company UPS Freight
Contact / Supervisor Name
Start Date 01-2007
End Date 10-2007
Address 1000 SEMMES AVE
City, State/Province Zip/Postal Richmond, VA 23218-1216 Country United States
Phone 800-***-****
Fax 877-***-****
Position Held owner operator
Reason for leaving? inconsistent available freight 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 all
Miles driven weekly 1500-2000
Pay Range (cents/mile) 1.95 cpm plus fsc
11
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
North American Van Lines
Company North American Van Lines
Contact / Supervisor Name
Start Date 06-1997
End Date 12-2006
Address 5001 Hwy 30 W
City, State/Province Zip/Postal Fort Wayne, IN 46818 Country United States
Phone 800-***-****
Fax 260-***-****
Position Held owner operator (Electronics Division) Reason for leaving? Contract negotiations failed
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 all
Miles driven weekly 2500-3000
Pay Range (cents/mile) $1.95 plus fsc
Most common truck driven Conventional Tractor
Most common trailer Liftgate
Trailer length 53 feet or more
12
Military
Country United States
Branch of Service Air Force
Start Date 06-1973
End Date 02-1997
Can you obtain your DD214? Yes
Rank at discharge Master Srgeant/ Law Enforcement Sup 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
·
No
13
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
·
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 06-2010
Hazmat Accident / Incident
Was the vehicle towed away?
City
State/Province VA
Were you in a commercial vehicle? No
If yes, was this a Department of
Transportation recordable accident?
Were you at fault? No
Were you ticketed? No
Description individual driving wrong side of roadway with lights off at night. unavoidable head
on collision. other parted cited. insurance
companies entered 3rd party albertration, i
was founf 100% Not at Fault
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? Violation Date 02-2016
Charge / Description Speeding
MPH Over Limit: 15
Violation State/Province IN
14
In Commercial Vehicle No
Fined? Yes
License Suspended?
License Revoked?
Perform Community Service?
Other Penalty?
Fine Amount (if any): 100 - $199
Comments:
Signature
Full Name Bud Robert Moyer
IP Address 166.182.84.165
Signature Date/Time 07-06-2024 9:46 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 entries on it and information in it are true and complete to the best of my knowledge.
Signed Date: 07-06-2024 9:46 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 Yes
15
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.
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
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
16
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
17
DISCLOSURE AND AUTHORIZATION TO REQUEST INVESTIGATIVE CONSUMER REPORT & STATE SPECIFIC CONSUMER REPORTS
DISCLOSURE
The Company may obtain an investigative consumer report and/or state specific consumer report ("Report") that contains background information about you from First Advantage Enterprise Screening Corporation ("First Advantage"), 1 Concourse Parkway NE Suite 200 Atlanta, GA 30328 (www.FADV.com), 1-866-439- 7179, for purposes of evaluating your application, appointment and/or contract terms at the time of application and throughout your affiliation with the Company.
The Reports may include, but are not limited to, information regarding your character, general reputation, personal characteristics and standard of living, educational and employment history, drug/alcohol test results, OFAC/terrorist watch list, sex offender search, Social Security verification and address history, driving record and criminal record and accident history as required by the Federal Motor Carrier Safety Act, subject to any limitations imposed by applicable federal and state law. This information may be obtained through direct or indirect contact with public and private sources, including former employers, schools and public agencies or other sources. If an investigative consumer report is requested, in addition to the description above, the nature and scope of any such report will be employment verifications and references, or personal references.
The specific type of report most often requested is criminal record, driving record, accident history, and employment history. You have the right to request a complete disclosure of the nature and scope of the consumer report requested and/or prepared.
You also have a right to request a written summary of your rights under the FCRA from the Company. It is also available online through the Consumer Financial Protection Bureau's website: https://www.consumerfinance.gov/compliance/compliance-resources/other-applicable-requirements/fair- credit-reporting-act/model-forms-and-disclosures/
AUTHORIZATION
I have carefully read the foregoing Disclosure and this Authorization. By signing below, I consent to and authorize the COMPANY to obtain from First Advantage the Reports described above. I acknowledge receipt of a copy of the "A Summary of Your Rights Under the Fair Credit Reporting Act." Printed Name:
Bud Robert Moyer
Social Security #:
2200
Signed Date: 07-06-2024
Bud Robert Moyer
1225 Stoney Mountain Road
Martinsville, VA 24112
18
DISCLOSURE & AUTHORIZATION FOR BACKGROUND INVESTIGATION The Company will utilize the services of a third-party agency or consumer reporting agency to obtain a consumer report for purposes of evaluating your application, appointment and/or contract terms at the time of application and throughout your affiliation with the Company. The term "consumer report" includes communications by a third-party agency or consumer reporting agency bearing on your criminal background, driving record, education, prior employment, credit history, character or mode of living. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying or are employed in. Pursuant to the Fair Credit Reporting Act, the Company is required to obtain your permission prior to procuring the consumer report. By signing below, you hereby authorize the Company to procure report(s) on your background as described above from any third-party or consumer reporting agency contacted by the Company. You further authorize ongoing procurement of the above-mentioned report(s) at any time that you are considered for another position with the Company or at any time during your association with the Company. Printed Name:
Bud Robert Moyer
Social Security #:
2200
Signed Date: 07-06-2024
Bud Robert Moyer
1225 Stoney Mountain Road
Martinsville, VA 24112
19
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Ryder Integrated Logistics, Inc. DOT#165420 ("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 Ryder Integrated Logistics, Inc. DOT#165420 ("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:
Bud Robert Moyer
Signed Date: 07-06-2024
20
Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing Records
And changes in Parts 390 and 391 of the FMCSA
X 07-06-2024
Date
X 2200
Social Security Number
Bud Robert Moyer
1225 Stoney Mountain Road
Martinsville, VA 24112
X Bud Robert Moyer
Print Name (First, MI, Last)
X
Signature
I, the above mentioned signer, hereby authorize Bb Trucking To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances testing/training records to Ryder Integrated Logistics, Inc. DOT#165420 DISCLOSURE
Contact this candidate