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Class a or b CDL driver

Location:
Lakeland, FL
Salary:
20/ hr
Posted:
January 18, 2023

Contact this candidate

Resume:

Panther Premium Logistics

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

Medina, OH 44256

800-***-****

**-**-**** *:09:56PM CST

IntelliApp

Thank you for your interest in Panther Premium Logistics. To qualify for Independent Contractor opportunities, please complete our online qualification form. Incomplete information will delay the processing of your qualification form or prevent it from being submitted.

In compliance with Federal and State equal employment opportunity laws, qualified independent contractors are considered for all opportunities 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: programmatic_panther_fleet-driver_rmw_lead Name Michael Scott Miller

Residence 3 years or longer (If No,

previous addresses shown below)

No

Current Address 3741 Old Tampa Hwy #26

City, State/Province Zip/Postal Lakeland, FL 33811 Country United States

Addresses Over last 3 years Address 1

3741 Old Tampa Hwy #26

Lakeland, FL 33811

United States

01-2022 to 01-2023

Address 2

2038 roxburgh ln.

Lakeland, FL 33813

United States

01-2020 to 01-2022

SSN/SIN 5786

Date of Birth

Primary Phone 863-***-****

Cell Phone 863-***-****

Preferred method of contact Primary Phone

Best time to contact you Any

Email aduqzw@r.postjobfree.com

No

1

Yes, I agree to receive information

concerning future opportunities or

promotions from Panther Premium

Logistics by email or other commercial

electronic communications.

Would you like to receive communication

from Panther Premium Logistics 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 Panther

Premium Logistics's service provider

receives in real time and logs your text

messages with Panther Premium

Logistics.

Yes

Company Questions

Fleet Owner Name hidden question

GENERAL INFORMATION

Are you planning on being a: Driver for Fleet Owner - Class B Do you have your own authority? No

Please enter your US DOT #

EIN # (if applicable)

If "Driver for a Fleet Owner", please enter

the Fleet Owner's name

Do you have a co-driver? No

What is your co-drivers name?

If you have spoken with a recruiter, please

select their name

Do you have a current Passport? No

Expiration Date:

Are you legally eligible for employment in

the United States?

Yes

Are you currently employed? No

What date did your last employment end? 12/1/2022

Do you read, write, and speak English? Yes

No

2

Have you ever worked for this company

before?

Enter start and end dates, location,

position, and reason for leaving:

Are you currently on criminal probation? No

Do you have a current TWIC card? Yes

Expiration date: 11/24

Do you have a current FAST card? No

Expiration Date:

Have you ever been granted a Secret

Security Level Clearance or higher?

No

Date Granted:

Please enter the names of any relatives

employed here:

Have you ever been known by any other

name?

No

Enter name:

How did you originally hear about

Panther?

Email drip

If referred, who referred you?

I agree to allow the carrier to contact me

via home phone, cell phone or email

Yes

In case of Emergency, notify (list name,

address, and phone):

Jamie carpenter 863-***-****

DRIVING EXPERIENCE

How much experience do you have in each of these types of equipment? Straight Truck / Cargo Van 12+ months

Tractor and Semi-Trailer 12+ months

Tractor - Two Trailers None

Other None

Which safe driving awards do you hold and

from whom?

EQUIPMENT (OWNER/OPERATORS ONLY)

Equipment Description:

What type of equipment do you own?

Year:

Make:

3

Model:

VIN:

Mileage:

Sleeper?

Please list all securement devices that you

have for you equipment

EDUCATION

List highest grade completed: GED

List last school attended (name, city, and

state):

Lakeland senior

Co-Driver

Co-Driver Name

Recruiter Routing- HIDDEN CQ

Worklist Routing- HIDDEN CQ Driver for Fleet Owner Class A vehicleType

Licenses

Please enter license numbers without any spaces or dashes. License Number 530

Licensing Authority FL

Country US

License Class Class A

License Expiration Date 12-13-2028

Physical Expiration Date 11-21-2024

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement Yes

HAZMAT Endorsement No

X Endorsement No

Doubles Triples Endorsement No

Other Endorsement Yes

4

Employment / Unemployment

Unemployment

Start Date 12-2022

End Date 01-2023

Comment

STRUCTALL BUILDING SYSTEMS INC

Company STRUCTALL BUILDING SYSTEMS INC

Contact / Supervisor Name

Start Date 12-2020

End Date 12-2022

Address 5120 great oak dr

City, State/Province Zip/Postal Lakeland, FL 33815 Country United States

Phone 863-***-****

Position Held driver

Reason for leaving? terminated

Were you terminated/discharged/laid off? Yes

Termination Explanation never missed a day and never called in in 2 years and was late 5 times in 4 months.

was having problems with my alarms. i

think was having problems with electric

and wi fi after hurricanes.

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 local and out of state

Miles driven weekly 1500-2000

Pay Range (cents/mile) 16.50-21.00 hr

Most common truck driven Straight Truck

5

Most common trailer Van

Trailer length 45 to 52 feet

Unemployment

Start Date 11-2020

End Date 12-2020

Comment Worked while at work release until

released 11/17/2020

Exclusive landscaping

Company Exclusive landscaping

Contact / Supervisor Name

Start Date 02-2020

End Date 11-2020

Address

City, State/Province Zip/Postal Orlando, FL

Country United States

Phone

Position Held

Reason for leaving? Was released from work release Were you terminated/discharged/laid off? Yes

Termination Explanation Was released from kissimmee work release and could not stay with company

because I live in lakeland

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

Pay Range (cents/mile)

Most common truck driven

6

Most common trailer

Trailer length

Unemployment

Start Date 02-2014

End Date 02-2020

Comment Incarcerated. Can explain in interview.

Unemployment

Start Date 12-2010

End Date 01-2014

Comment Unemployed

Trucking School

Start Date 01-2002

End Date 02-2002

School NBI

Address

Address 2

City, State/Province Lakeland, FL

Country US

Phone

Did you graduate? Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while attending this truck

school?

Yes

Did you perform any safety sensitive

functions at this truck school, regulated by

DOT, and subject to drug and alcohol

testing?

Yes

GPA

Hours of Instruction

Border Crossing Yes

Log Books Yes

Federal Motor Carrier Regulations Yes

Hazardous Materials Yes

7

Motor Vehicle Record

1. Has any license, permit or privilege ever

been denied, suspended or revoked for

any reason?

No

2. Have you ever been convicted of driving

during license suspension or revocation, or

driving without a valid license or an expired

license, or are any charges pending?

No

3. Have you ever been convicted for any

alcohol or controlled substance related

offense while operating a motor vehicle, or

are any charges pending?

No

4. Have you ever been convicted for

possession, sale or transfer of an illegal

substance (including but not limited to,

marijuana, amphetamines, or derivatives

thereof) while on duty, or are any charges

pending?

Yes

Date 12-2013

Comment Trafficking amphetimines

5. Have you ever been convicted of

reckless driving, careless driving or

careless operation of a motor vehicle, or

are any charges pending?

No

6. Have you ever 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 in past three years, or have

you ever tested positive or refused to test

on any DOT-mandated drug or alcohol

test?

No

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 3 years? No Violations

8

Criminal Record

Have you ever been convicted of a crime? Yes

Comment Felony. Trafficking amphetamines Feb

2014 8 year sentence served 6 years 10

months.

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?

Yes

Comment Feb 2014 trafficking amphetamines 8 year

sentence served 6 years 10 months.

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 Michael Scott Miller

IP Address 2603:9000:b300:2

Signature Date/Time 01-08-2023 3:09 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: 01-08-2023 3:09 PM

Signed:

Federal FCRA Summary of Rights Acknowledgment

By checking this box, I (a) acknowledge

that I have read and understand the

Yes

9

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.

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

10

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 this 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

aduqzw@r.postjobfree.com.

Yes

11

DISCLOSURE REGARDING BACKGROUND INVESTIGATION

Panther Premium Logistics ("The Company") may obtain information about you from a third party consumer reporting agency for employment or volunteer purposes. Thus, you may be the subject of a "consumer report" and/or an "investigative consumer report" which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records ("driving records"), verification of your education or employment history, or other background checks. You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you, and disclosure of the nature and scope of any investigative consumer report and to request a copy of your report. Please be advised that the nature and scope of the most common form of investigative consumer report is an employment history or verification. These searches will be conducted by Asurint, P.O. Box 14730, Cleveland, OH 44114, 800-***-****, www.asurint.com. The scope of this disclosure is all-encompassing, however, allowing the Company to obtain from any outside organization all manner of consumer reports throughout the course of your employment or volunteer placement to the extent permitted by law. Printed Name:

Michael Scott Miller

Social Security #:

5786

Signed Date: 01-08-2023

Michael Scott Miller

3741 Old Tampa Hwy #26

Lakeland, FL 33811

863-***-****

Gender:

12

DISCLOSURE AND AUTHORIZATION

Please read carefully and completely before signing Disclosure:

As part of your application for employment or your interest in being qualified as a contractor with Panther II Transportation, Inc. (the "Company"), the Company intends to obtain a consumer report and criminal background screen from one or more of the following consumer reporting agencies: Tenstreet

120 W. 3rd Street

Tulsa, OK 74103

Phone: 877-***-****

Email: aduqzw@r.postjobfree.com

Web: http://www.tenstreet.com/drivers/

ASURINT

P.O. Box 14730

Cleveland, OH 44114

800-***-****

aduqzw@r.postjobfree.com

www.asurint.com#compliance

Supervision

PO Box 21636

Saint Paul, MN 55121

Phone: 855-***-****

Customer Support: 844-***-****

HireRight

Attn: Consumers Dept

14002 E 21st Street Suite 1200

Tulsa, OK 74134

866-***-****

FMCSA and Clearinghouse

1200 New Jersey Avenue, SE

Washington, DC 20590

877-***-****

This consumer report will be used for employment purposes within the meaning of the Fair Credit Reporting Act (the

"FCRA"). To the extent you enter into an employment or contractual relationship with the Company, the Company may periodically obtain updated consumer reports and criminal background screens. As required by the FCRA, this disclosure is to inform you that a consumer report, including information as to character, general reputation, personal characteristics, and mode of living, whichever are applicable, may be procured from time to time. Such reports may contain public information concerning your driving record, safety record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies, which maintain such DISCLOSURE AND AUTHORIZATION 13

records.

Authorization:

This signed Authorization is my authorization and consent for the Company to procure consumer reports and criminal background reports from a consumer reporting agency from time to time as required by the Company for employment or contract purposes.

This authorization shall remain on file and shall serve as on-going authorization for the Company to procure consumer and criminal background reports at any time during my employment or contract and the qualification process with respect thereto. I understand that, upon termination of my employment or contract for any reason, this authorization shall be destroyed and of no further effect.

I hereby certify that I have read the foregoing and understand the contents of this Disclosure and Authorization. I also understand the remedies available to me should I disagree with the consumer reporting agency with respect to the consumer report.

Printed Name:

Michael Scott Miller

Social Security #:

5786

Signed Date: 01-08-2023

Michael Scott Miller

3741 Old Tampa Hwy #26

Lakeland, FL 33811

863-***-****

Gender:

Please read carefully and completely before signing 14 IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Panther Premium Logistics ("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 Panther Premium Logistics ("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:

Michael Scott Miller

Signed Date: 01-08-2023

Please read carefully and completely before signing 15 Please read carefully and completely before signing 16 Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse

I am signing this consent form as part of my contract with, or application to become qualified as a contractor with, Panther II Transportation, Inc. (the "Company"). By signing below, I hereby provide consent to the Company to conduct limited queries of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse (the "Clearinghouse") to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I acknowledge and understand that this consent extends to queries to be conducted as part of my application to be qualified as a contractor with the Company as well as subsequent unlimited queries to be conducted during the term of my contract period with the Company.

I understand that if the limited query conducted by the Company indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information to the Company without first obtaining additional specific consent from me.

Finally, I understand that 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 if I: (a) refuse to provide this consent for the Company to conduct a limited query of the Clearinghouse; or (b) refuse to provide the above-described consent to the FMCSA to disclose to the Company any drug or alcohol violation information responsive to a query. 01-08-2023

Michael Scott Miller Date

Please read carefully and completely before signing 17 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 01-08-2023

Date

X 5786

Social Security Number

Michael Scott Miller

3741 Old Tampa Hwy #26

Lakeland, FL 33811

863-***-****

Gender:

X Michael Scott Miller

Print Name (First, MI, Last)

X

Signature

I, the above mentioned signer, hereby authorize STRUCTALL BUILDING SYSTEMS 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 Panther Premium Logistics 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 Panther Premium Logistics, HireRight and/or Asurint for the sole purpose of transmitting such records to Panther Premium Logistics,. I authorize release of the following information concerning DOT drug and alcohol testing violations including pre-employment/contract 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/contract, work experience, accidents, academic history, professional credentials and other information. The information that I have authorized Panther Premium Logistics, HireRight and/or Asurint to review involves tests required by DOT. If any carrier (company/school) listed above furnishes Panther Premium Logistics, HireRight and/or Asurint 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. Please read carefully and completely before signing 18 Summary of Rights Under 15 U.S.C. Section 1681m(a) You are hereby provided a summary of the following provisions of the Fair Credit Reporting Act, 15 U.S.C. 1681m(a): The following consumer reporting agencies will prepare the background report / consumer report for Panther Premium Logistics ('Company'):

Asurint

Compliance Dept

PO Box 14730

Cleveland, Ohio 44114

Phone: 800-***-****

Email: aduqzw@r.postjobfree.com

Web: https://www.asurint.com/candidates

Tenstreet

120 W. 3rd Street

Tulsa, OK 74103

Phone: 877-***-****

Email: aduqzw@r.postjobfree.com

Web: http://www.tenstreet.com/drivers/

For Pre-Employment Screening Program (PSP) and Clearinghouse: U.S. Federal Motor Carrier Safety Administration, of the Department of Transportation, ("FMCSA-DOT") 1200 New Jersey Avenue SE

Washington, DC 20590

Phone: 800-***-****, TTY 800-***-****

https://dataqs.fmcsa.dot.gov/Default.aspx

Supervision

PO Box 21636

Saint Paul, MN 55121

Phone: 855-***-****

Customer Support: 844-***-****

HireRight, LLC

Attn: Consumers Dept.

14002 E 21st Street

Suite 1200

Tulsa, OK 74134

Phone: 866-***-****

Fax: 918-***-****

Email: aduqzw@r.postjobfree.com

Web: http://www.hireright.com/applicants

No consumer reporting agency utilized by the Company makes adverse decisions relating to your employment or contract relationship and no consumer reporting agency utilized by the Company is able to provide any specific reasons to you why an adverse decision relating to your employment or contract relationship may be taken or was taken based on a consumer report.

15 U.S.C. 1681j provides for the right to obtain a free copy of a consumer report on you from the consumer reporting agency which prepared your



Contact this candidate