Post Job Free

Resume

Sign in

Information Safety

Location:
Tallahassee, FL
Posted:
June 22, 2020

Contact this candidate

Resume:

Ryder Integrated Logistics, Inc.

DOT#******

***** ** ***** ******

Miami, FL 33178

866-***-****

**-**-**** **:15:28PM CDT

IntelliApp

Personal Information

Name Winston Flower Oliver

Current Address 625 S Main St

City, State/Province Zip/Postal Chattahoochee, FL 32324 Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 8986

Date of Birth

Primary Phone 870-***-****

Cell Phone 870-***-****

Preferred method of contact Primary Phone

Best time to contact you Any

Email addz25@r.postjobfree.com

Yes, I want to receive information and

communications from Ryder Integrated

Logistics, Inc. DOT#165420 concerning

future opportunities or promotions.

Yes

Would you like to receive communication

from Ryder Integrated Logistics, Inc.

DOT#165420 via text message?

By participating, you consent to receive

text messages sent by an automatic

telephone dialing system, which may

contain recruiting/advertising messages.

Consent to these terms is not a condition

of being hired, contracted, or leased. You

may opt out at any time by texting STOP to

unsubscribe. You also agree that Ryder

Integrated Logistics, Inc. DOT#165420's

service provider receives in real time and

logs your text messages with Ryder

Integrated Logistics, Inc. DOT#165420.

Yes

1

Company Questions

GENERAL INFORMATION

Are you currently authorized to work in the

United States on a full-time basis for any

employer?

Yes

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)?

No

Are you currently employed? No

What date did your last employment end? 05-28-2020 Do you read, write, and speak English? Yes

Are you currently employed with Ryder

Integrated?

No

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? Yes

Expiration date: 08-20-2022

Have you ever been known by any other

name?

No

Enter name:

Please enter the names of any relatives

employed here:

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 Tank 05/2012-10/2017 100,000miles

Tractor and Semi-Trailer Van 05/2012-05/2020 200,000 Miles Flatbed 05/2012-05/2020 900,000 miles.

Tractor - Two Trailers None

Other None

Which safe driving awards do you hold and

from whom?

1 year safe driving reward from central

transport. One year with no recordable

accidents

EQUIPMENT (OWNER/OPERATORS ONLY)

Equipment Description (Tractor):

Type:

2

Year:

Make:

Model:

Color:

VIN:

Weight

Mileage

Fifth Wheel Height

EDUCATION

List highest grade completed:

List last school attended (name, city, and

state):

Timbo high school. Timbo Arkansas

PERSONAL REFERENCES

List name, address, city, state, phone number, and relationship: First Reference: Adrain Laverne 334-***-****

Ex boss and friend

Second Reference: Spencer Taylor

615-***-****

Dispatcher/friend

Have you completed your registration for

the FMCSA Drug & Alcohol

Clearinghouse?

Yes

Applicant Workflow ID 1798181

Person ID 1234564

System ID 1798181

Licenses

License Number 690

State/Province FL

Country United States

License Class Class A

License Expiration Date 12-29-2022

Physical Expiration Date 02-26-2021

Current License Yes

Commercial Driver License Yes

Endorsements

3

Tanker Endorsement No

HAZMAT Endorsement No

Hazmat Expiration Date 12-29-2022

X Endorsement Yes

Doubles Triples Endorsement No

Other Endorsement No

Employment / Unemployment

Shelton Trucking Service, Inc.

Company Shelton Trucking Service, Inc.

Start Date 02-2020

End Date 06-2020

Address 24058 NW SR 73

City, State/Province Zip/Postal Altha, FL 32421

Country United States

Phone 850-***-****

Fax 850-***-****

Position Held Driver

Reason for leaving? Fired

Were you terminated/discharged/laid off? Yes

Termination Explanation Fired for not reporting small incident after the other party told me not to because it

was too minor he then turned around and

reported me.

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 Florida

Miles driven weekly 1000-1500

4

Pay Range (cents/mile) .75/1.05

Most common truck driven Tractor-Trailer

Most common trailer Flatbed

Trailer length 45 to 52 feet

Central Transport, Inc.

Company Central Transport, Inc.

Start Date 02-2018

End Date 01-2020

Address 3708 Peddie Dr

City, State/Province Zip/Postal Tallahassee, FL

Country United States

Phone 334-***-****

Position Held Driver/sales rep

Reason for leaving? Current

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 Tallahassee to Panama City. Tallahassee to Atlanta

Miles driven weekly 1000-1500

Pay Range (cents/mile) 34

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 45 to 52 feet

Sunland Construction Inc

Company Sunland Construction Inc

Start Date 07-2009

5

End Date 01-2018

Address 7726 boles rd

City, State/Province Zip/Postal Blackwell, OK 79726 Country United States

Phone 505-***-****

Position Held Driver

Reason for leaving? Wanted to be home more

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 Midland Texas

Miles driven weekly 1000-1500

Pay Range (cents/mile) 28/hr

Most common truck driven Tractor-Trailer

Most common trailer Flatbed

Trailer length 45 to 52 feet

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

No

6

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)]

In the past three(3) years, have you ever

been convicted of any of the following

offenses: [49 CFR 391.15]:

Driving a commercial motor vehicle

with a blood alcohol concentration

("BAC") of .04 percent or more

Driving under the influence of

alcohol, as prescribed by state law

Refusal to undergo drug and

alcohol testing as required by any

jurisdiction for the enforcement of

Federal Motor Carrier Safety Act

regulations

Driving a commercial motor vehicle

under the influence of any 21

C.F.R. 1308.11 Schedule I

identified controlled substance, an

amphetamine, a narcotic drug, a

formulation of an amphetamine, or

a derivative of a narcotic drug

Transportation, possession, or

unlawful use of a 21 C.F.R.

1308.11 Schedule I identified

controlled substance,

amphetamines, narcotic drugs,

formulations of an amphetamine, or

derivatives of narcotic drugs while

you were on duty driving for a

motor carrier

Leaving the scene of an accident

while operating a commercial motor

vehicle

Or any other felony involving the

use of a commercial motor vehicle

No

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 05-2020

Hazmat Accident / Incident No

Was the vehicle towed away? No

City Panama City

7

State/Province FL

Were you in a commercial vehicle? Yes

If yes, was this a Department of

Transportation recordable accident?

No

Were you at fault? Yes

Were you ticketed? No

Description Was at the intersection of 231 south and 98 west at a yield sign waiting my turn to

enter 98west the truck in front of me

started taking off so I proceeded to look to

see if lane was clear for me as well and it

was so I let off the clutch of my truck and

the truck in front of me had decided to not

take off and I rolled into his pickup. No

damage was done at the scene.

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 06-2019

Hazmat Accident / Incident No

Was the vehicle towed away? No

City Panacea

State/Province FL

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 Was parked at alligator point in personal truck and was involved in a hit and run

Traffic Convictions \ Violations

Have you had any moving violations or traffic convictions in the past 3 years? No Violations

8

Criminal Record

Have you ever been convicted of a crime? No

Do you have any deferred prosecutions? No

Do you have criminal charges pending? No

Have you ever pled "guilty" to, been

convicted of, or pled "no contest" to a

felony?

No

If you have any felony convictions, do you

currently hold a minister's permit to enter

or exit Canada?

No

Have you, within the last five years, pled

"guilty" to, been convicted of, had

prosecution deferred in connection with, or

pled "no contest" to a misdemeanor?

No

Signature

Full Name Winston Flower Oliver

IP Address 174.227.2.124

Signature Date/Time 06-03-2020 12:15 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 in it are true and complete to the best of my knowledge.

Signed Date: 06-03-2020 12:15 PM

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

Yes

9

signature.

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

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.

Yes

10

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.

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 addz25@r.postjobfree.com.

Yes

11

DISCLOSURE AND AUTHORIZATION TO REQUEST CONSUMER REPORTS & INVESTIGATIVE DISCLOSURE

Ryder System Inc. ('COMPANY') will obtain a consumer report and/or investigative 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 (http://www.FADV.com), 1-866-***-****, as part of the hiring process for this position and for any future position for which you are considered. If you are hired, to the extent permitted by law, COMPANY may obtain further Reports from First Advantage throughout your employment for an employment purpose without providing further disclosure or obtaining additional consent. 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.

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 relating to me for employment purposes. I acknowledge receipt of a copy of the "A Summary of Your Rights Under the Fair Credit Reporting Act." Printed Name:

Winston Flower Oliver

Social Security #:

8986

Signed Date: 06-03-2020

Winston Flower Oliver

625 S Main St

Chattahoochee, FL 32324

870-***-****

Gender:

12

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:

Winston Flower Oliver

Social Security #:

8986

Signed Date: 06-03-2020

Winston Flower Oliver

625 S Main St

Chattahoochee, FL 32324

870-***-****

Gender:

13

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:

Winston Flower Oliver

Signed Date: 06-03-2020

14

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 06-03-2020

Date

X 8986

Social Security Number

Winston Flower Oliver

625 S Main St

Chattahoochee, FL 32324

870-***-****

Gender:

X Winston Flower Oliver

Print Name (First, MI, Last)

X

Signature

I, the above mentioned signer, hereby authorize Shelton Trucking Service, Inc. 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 AND RELEASE

In accordance with DOT Regulation 49 CFR Part 391.23, I authorize the release of information from my DOT regulated drug and alcohol testing records by the carriers (company/school) listed above to Ryder Integrated Logistics, Inc., or to HireRight for the sole purpose of transmitting such records to Ryder Integrated Logistics, Inc.. I authorize release of the following information concerning DOT drug and alcohol testing violations including pre-employment tests during the past three years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested (including verified adulterated or substituted results); (iv) other violations of DOT drug and alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation(s); and (vi) documents, if any, of completion of a return-to-duty process following a rule violation. I also authorize the carriers

(company/school) listed above to release information about names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and other information. The information that I have authorized Ryder Integrated Logistics, Inc. or HireRight to review involves tests required by DOT. If any carrier (company/school) listed above furnishes Ryder Integrated Logistics, Inc. or HireRight with information concerning items (i) through (vi) above, I also authorize that carrier (company/school) to release and furnish the dates of my negative drug and/or alcohol tests and/or tests with results below 0.04 during the three-year period and the name and phone number of any substance abuse professional who evaluated me during the past three years. 15

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 06-03-2020

Date

X 8986

Social Security Number

Winston Flower Oliver

625 S Main St

Chattahoochee, FL 32324

870-***-****

Gender:

X Winston Flower Oliver

Print Name (First, MI, Last)

X

Signature

I, the above mentioned signer, hereby authorize Central Transport, Inc. 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 AND RELEASE

In accordance with DOT Regulation 49 CFR Part 391.23, I authorize the release of information from my DOT regulated drug and alcohol testing records by the carriers (company/school) listed above to Ryder Integrated Logistics, Inc., or to HireRight for the sole purpose of transmitting such records to Ryder Integrated Logistics, Inc.. I authorize release of the following information concerning DOT drug and alcohol testing violations including pre-employment tests during the past three years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested (including verified adulterated or substituted results); (iv) other violations of DOT drug and alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation(s); and (vi) documents, if any, of completion of a return-to-duty process following a rule violation. I also authorize the carriers

(company/school) listed above to release information about names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and other information. The information that I have authorized Ryder Integrated Logistics, Inc. or HireRight to review involves tests required by DOT. If any carrier (company/school) listed above furnishes Ryder Integrated Logistics, Inc. or HireRight with information concerning items (i) through (vi) above, I also authorize that carrier (company/school) to release and furnish the dates of my negative drug and/or alcohol tests and/or tests with results below 0.04 during the three-year period and the name and phone number of any substance abuse professional who evaluated me during the past three years. 16

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 06-03-2020

Date

X 8986

Social Security Number

Winston Flower Oliver

625 S Main St

Chattahoochee, FL 32324

870-***-****

Gender:

X Winston Flower Oliver

Print Name (First, MI, Last)

X

Signature

I, the above mentioned signer, hereby authorize Sunland Construction Inc 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 AND RELEASE

In accordance with DOT Regulation 49 CFR Part 391.23, I authorize the release of information from my DOT regulated drug and alcohol testing records by the carriers (company/school) listed above to Ryder Integrated Logistics, Inc., or to HireRight for the sole purpose of transmitting such records to Ryder Integrated Logistics, Inc.. I authorize release of the following information concerning DOT drug and alcohol testing violations including pre-employment tests during the past three years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested (including verified adulterated or substituted results); (iv) other violations of DOT drug and alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation(s); and (vi) documents, if any, of completion of a return-to-duty process following a rule violation. I also authorize the carriers

(company/school) listed above to release information about names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and other information. The information that I have authorized Ryder Integrated Logistics, Inc. or HireRight to review involves tests required by DOT. If any carrier (company/school)



Contact this candidate