Name Christopher William Garrett
Residence * years or longer (If No,
previous addresses shown below)
Yes
Current Address **** ****** **
City, State/Province Zip/Postal Waldorf Md, MD 20601 Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 6178
Date of Birth
Primary Phone 301-***-****
Cell Phone 301-***-****
Email **********@*******.***
Yes, I agree to receive information
concerning future opportunities or
promotions from Cowan Systems LLC. by
email or other commercial electronic
communications.
Yes
Would you like to receive communication
from Cowan Systems LLC. via text
message?
By participating, you consent to receive
text messages sent by an automatic
telephone dialing system, which may
contain recruiting/advertising messages.
Yes
1
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 Cowan
Systems LLC.'s service provider receives
in real time and logs your text messages
with Cowan Systems LLC..
Company Questions
GENERAL INFORMATION
What position are you applying for?
Company Driver Yes
OTR No
Regional Road Yes
Dedicated Local Yes
Jockey No
Are you looking for Full Time or Part Time? Full
Contract Driver (Lease Purchase) No
If you were referred by a "Cowan Driver",
please enter their name
Do you have the legal right to work in the
United States?
Yes
Do you have a HAZMAT endorsement? No
Do you have a current TWIC card? Yes
Expiration date? 2026
EQUIPMENT EXPERIENCE
Semi-Trailer 53' Yes
Semi-Trailer 48' Yes
Flatbed Yes
Tanker No
Doubles No
How much total experience do you have? 10+ Years
In the last 3 years do you have 3 or more
at fault accidents/incidents?
No
Ai Media Tracking
Recruiter Routing
2
Licenses
License Number 739
Licensing Authority MD
Country US
License Class Class A
License Expiration Date 09-24-2025
DOT Medical Card Expiration Date 07-08-2026
Current License Yes
Commercial Driver License Yes
Endorsements None
Employment / Unemployment
Baier Transport LLC
Company Baier Transport LLC
Start Date 06-2023
End Date 11-2024
Address 8 CHASE PARK RD
City, State/Province Zip/Postal Seabrook, NH 03874 Country United States
Phone
Position Held Driver
Reason for leaving? Work slow unhappy with truck breakdown no spare trucks
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 East coast out to Texas Wisconsin
3
Miles driven weekly 3000-3500
Most common truck driven Tractor-Trailer
Most common trailer Car Hauler
Trailer length Other
Carmax
Company Carmax
Start Date 07-2017
End Date 07-2024
Address 8800 free state dr
City, State/Province Zip/Postal Laurel, MD
Country United States
Phone
Position Held Sr fleet driver
Reason for leaving? Try something new
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 Md pa nj va de
Miles driven weekly 1000-1500
Most common truck driven Day Cab Conventional
Most common trailer Car Hauler
Trailer length Other
Charles county ems
Company Charles county ems
Start Date 03-2010
End Date 10-2020
Address
4
City, State/Province Zip/Postal Waldorf, MD 20602
Country United States
Phone 301-***-****
Position Held Driver/EMT
Reason for leaving? Not leaving
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
Most common trailer
Trailer length
G&g
Company G&g
Start Date 08-2013
End Date 06-2017
Address
City, State/Province Zip/Postal Waldorf, MD
Country United States
Phone 301-***-****
Position Held Driver
Reason for leaving? No work
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
May we contact this employer at this time? Yes
5
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 Md D.C. Va pa nj de
Miles driven weekly 1000-1500
Most common truck driven Tractor-Trailer
Most common trailer Car Hauler
Trailer length 45 to 52 feet
Messick Trucking
Company Messick Trucking
Start Date 09-2011
End Date 08-2013
Address
City, State/Province Zip/Postal Waldorf, MD
Country United States
Phone
Position Held Driver
Reason for leaving? No work
Were you terminated/discharged/laid off?
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?
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
6
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Moreland and sons
Company Moreland and sons
Start Date 03-2010
End Date 08-2013
Address
City, State/Province Zip/Postal Waldorf, MD 20601
Country United States
Phone 301-***-****
Position Held Driver
Reason for leaving? No work
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
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Buck distributing
Company Buck distributing
Start Date 08-2006
End Date 03-2010
Address
City, State/Province Zip/Postal Upper Marlboro, MD 7
Country United States
Phone
Position Held
Reason for leaving? No work
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
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Cable and conduit
Company Cable and conduit
Start Date 08-2005
End Date 08-2006
Address
City, State/Province Zip/Postal Waldorff, MD
Country United States
Phone
Position Held Driver
Reason for leaving? No work
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 Yes
8
vehicle?
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
Most common truck driven Dump Truck
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)]
Yes
Please provide additional detail, including the dates of the suspension(s)/revocation(s): Carmax did not pay an over weight ticket
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
·
No
9
jurisdiction for the enforcement of
Federal Motor Carrier Safety Act
regulations
Driving a commercial motor vehicle
under the influence of any 21
C.F.R. 1308.11 Schedule I
identified controlled substance, an
amphetamine, a narcotic drug, a
formulation of an amphetamine, or
a derivative of a narcotic drug
·
Transportation, possession, or
unlawful use of a 21 C.F.R.
1308.11 Schedule I identified
controlled substance,
amphetamines, narcotic drugs,
formulations of an amphetamine, or
derivatives of narcotic drugs while
you were on duty driving for a
motor carrier
·
Leaving the scene of an accident
while operating a commercial motor
vehicle
·
Or any other felony involving the
use of a commercial motor vehicle
·
Vehicle Accident Record
Were you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?
Type of Accident / Incident Non-Injury
Date of Accident / Incident 02-2009
Hazmat Accident / Incident
Was the vehicle towed away?
City
State/Province MD
Were you in a commercial vehicle? No
If yes, was this a Department of
Transportation recordable accident?
Were you at fault? Yes
Were you ticketed? No
Description was driving in a snow storm and a car next to me lost control and came into my lane i
over corrected and ran off the road and hit
a tree
10
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? No Violations
Signature
Full Name Christopher William Garrett
IP Address 73.250.79.158
Signature Date/Time 11-15-2024 8:26 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. SIGNATURE AND CERTIFICATION
ALL APPLICANTS:
I certify that this application was completed by me, and that all the entries on it and the information in it are true and complete to the best of my knowledge. Federal Motor Carrier Safety Regulations (382.301) require all Commercial Driver applicants to submit to a controlled substance urinalysis test prior to being engaged as a Company or Contract Driver. As a condition of my application processing, I agree to the urine sample collection and controlled substance testing. I understand that a confirmed positive result will medically disqualify me from further consideration as a driver applicant. I understand that I have the right to review information provided by previous employers. I understand that I have the right to have errors in the information corrected by the previous employer and for that previous employer to re-send corrected information to Cowan Intermodal Group, LLC. I understand that I have the right to have a rebuttal statement attached to any alleged erroneous information, if the previous employer and I cannot agree on the accuracy of information provided.
ALL CONTRACT DRIVER APPLICANTS ONLY:
I understand that any Cowan Intermodal Group, LLC engagement of my driving services as an independent owner-operator OR employee of a contractor will be governed by a signed and dated written Transportation Service Agreement (or any existing predecessor Agreement) specifying terms and conditions of my engagement as a driver. In the event of my engagement as a Contract Driver, I understand that any false or misleading information given by me on my application or during any interview may result in the immediate termination of the Transportation Service Agreement, regardless of when the information was discovered to be false or misleading.
ALL COMPANY DRIVER APPLICANTS ONLY:
I understand that any employment offered me will be as an employee of Cowan Distribution Services, Inc., a company related to Cowan Intermodal Group, LLC, and any such employment will not be for any specified duration and, further, that my employment is terminable by either party at will with or without notice or cause. In the event of my employment by Cowan Distribution Services, Inc., I understand that any false or misleading information given by me on my application or during any interview may result in the immediate termination of my employment, regardless of when the information was discovered to be false or misleading. I further understand that the first ninety (90) days of my employment is a probationary period, and during that time, I will not be eligible for any employee benefits. END OF APPLICATION
Signed Date: 11-15-2024 8:26 AM
Signed:
11
Federal FCRA Summary of Rights Acknowledgment
By checking this box, I (a) acknowledge
that I have read and understand the
federal FCRA Summary of Rights and
have been given the opportunity to
copy/print the Summary of Rights and (b)
agree to use an electronic signature to
demonstrate my consent. An electronic
signature is as legally binding as an ink
signature.
Yes
CALIFORNIA DISCLOSURE REGARDING BACKGROUND CHECKS DOCUMENT By checking the box, I 1) agree to use an
electronic signature to demonstrate my
consent, 2) agree that an electronic
signature is as legally binding as an ink
signature, and 3) acknowledge that I have
read and understood this California
Disclosure Regarding Background Checks
document.
Yes
Maryland Statement of Rights of the Consumer
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under the Fair Credit
Reporting Act and also have been given
the opportunity to copy/print the Summary
of Rights, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
New Jersey Summary of Rights Acknowledgment
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under New Jersey's
Fair Credit Reporting Act and also have
been given the opportunity to copy/print
the Summary of Rights, and (b) agree to
use an electronic signature to demonstrate
my acknowledgment. An electronic
signature is as legally binding as an ink
signature.
Yes
12
Washington Summary of Rights Acknowledgment
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under Washington's
Fair Credit Reporting Act and have been
given the opportunity to copy/print the
Summary of Rights and (b) agree to use
an electronic signature to demonstrate my
acknowledgment. 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
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
Yes
13
consent. An electronic signature is as
legally binding as an ink signature.
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
14
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment or owner-operator (independent contractor) application, Cowan Systems LLC. 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, former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:
Christopher William Garrett
Social Security #:
6178
Signed Date: 11-15-2024
Christopher William Garrett
3499 Forest Dr
Waldorf Md, MD 20601
15
AUTHORIZATION FOR CONSUMER REPORTS
I authorize Cowan Systems LLC. 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:
Christopher William Garrett
Social Security #:
6178
Signed Date: 11-15-2024
Christopher William Garrett
3499 Forest Dr
Waldorf Md, MD 20601
16
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Cowan Systems LLC. ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).
When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.
Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization. AUTHORIZATION
If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize Cowan Systems LLC. ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.
I further understand that neither the Prospective Employer nor the FMCSA 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:
Christopher William Garrett
Signed Date: 11-15-2024
17
Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse
Commencing on the date shown below, and during my employment or leased services with COWAN SYSTEMS, LLC as a commercial driver (in other words while I am subject to the drug and alcohol testing rules in 49 CFR Part 382 for Cowan Systems, LLC), I hereby authorize COWAN SYSTEMS, LLC to conduct periodic limited queries of the FMCSA's Drug & Alcohol Clearinghouse to determine if a Clearinghouse record exists for me. I understand that if any limited query reveals that the Clearinghouse contains information about me, that information will not be released unless I grant electronic consent via the Clearinghouse website, for the motor carrier to obtain my full Clearinghouse record. According to Federal regulations, if I fail or refuse to provide such consent within 24 hours, COWAN SYSTEMS, LLC must remove me from safety-sensitive duties. 11-15-2024
Christopher William Garrett Date
18
Request/Consent for Information from Previous Employer(s)/Carrier(s) For Safety Performance History pursuant to 49 CFR Section 391.23 of the FMCSA regulations X 11-15-2024
Date
X 6178
Social Security Number
Christopher William Garrett
3499 Forest Dr
Waldorf Md, MD 20601
X Christopher William Garrett
Print Name (First, MI, Last)
X
Signature
I, the above mentioned signer, hereby authorize Baier Transport LLC To release and forward in accordance with the following regulation, all known information pertaining to my Safety Performance History to Cowan Systems LLC.
DISCLOSURE AND AUTHORIZATION UNDER 49 C.F.R. PART 391.23 INCLUDING DOT DRUG AND ALCOHOL INFORMATION
For purposes of an investigation in accordance with 49 C.F.R. Part 391.23, I authorize my current and previous employers, contractors
(if owner-operator), and trucking schools, as applicable, to release and forward to Cowan Systems LLC. ("Company") the following information for the past three (3) years:
1. DOT alcohol and controlled substance information in accordance with Parts 382 and 40 of the Federal Motor Carrier Safety Regulations (49 CFR Part 382 and 49 CFR Part 40, Section 40.25) limited to the following DOT regulated testing items, including pre-employment testing results: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be