KLLM Transport Services, LLC
Richland, MS 39218
**-**-**** **:38:31AM CDT
IntelliApp
COMPANY DRIVER APPLICATION: Thank you for your interest in KLLM Transport Services, LLC. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.
In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
Personal Information
Referral Code: kllmwebsitecompanyredirect
Name Christopher Maurice Barber
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
Current Address 906 Sarcee Avenue
City, State/Province Zip/Postal Akron, OH 44305
Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 7882
Date of Birth
Primary Phone 234-***-****
Cell Phone 234-***-****
Email ***************@*****.***
Yes, I agree to receive information
concerning future opportunities or
promotions from KLLM Transport Services,
LLC by email or other commercial
electronic communications.
Yes
Would you like to receive communication
from KLLM Transport Services, 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.
Consent to these terms is not a condition
of being hired, contracted, or leased. You
Yes
1
may opt out at any time by texting STOP to
unsubscribe. You also agree that KLLM
Transport Services, LLC's service provider
receives in real time and logs your text
messages with KLLM Transport Services,
LLC.
Company Questions
GENERAL INFORMATION
What position are you applying for? Company Driver What location are you applying for? MW Regional
If you have spoken to a recruiter, please
select their name:
No One
Are you legally eligible for employment in
the United States?
Yes
Are you currently employed? Yes
What date did your last employment end?
Do you read, write, and speak English? Yes
Have you ever worked for this company
before?
No
Enter start and end dates, location,
position, and reason for leaving:
Have you ever been known by any other
name?
No
Enter name:
How did you hear about us?
If "Other", please explain
Were you referred by a Driver? No
Driver's Name:
Truck #:
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".
Tractor and Semi-Trailer 3 yrs
Tractor - Two Trailers 0
Other 0
MISC. INFORMATION
2
Have you EVER had a DUI/DWI
conviction?
No
Please explain:
Have you had more than 3 moving
violations in the last 3 years?
No
Please explain:
Have you had a reckless driving conviction
in the last 5 years?
No
Please explain:
Have you had more than 1 serious traffic
violation in the last 3 years?
No
Please explain:
Were you at fault in more than 3 accidents
in the last 3 years?
No
Please explain:
Have you ever had a DUI or DWI while
driving a commercial vehicle?
No
Please explain:
Have you ever tested positive on or
refused any Drug or Alcohol test
administered by any prospective, past or
current employer, including random,
post-accident, and pre-employment test?
No
Please explain:
Do you have any abandonments on your
driving record?
No
Please explain:
Have you had more than 6 jobs in the past
3 years?
No
Please explain:
Licenses
License Number 496
State/Province OH
Country United States
License Class Class A
License Expiration Date 10-26-2021
Physical Expiration Date 05-04-2020
3
Current License Yes
Commercial Driver License Yes
Endorsements
Tanker Endorsement No
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
Employment / Unemployment
Trillium Driver Solutions
Company Trillium Driver Solutions
Start Date 09-2022
End Date 09-2022
Address
City, State/Province Zip/Postal Highland Heights, OH Country United States
Phone 440-***-****
Fax 855-***-****
Position Held
Reason for leaving? N/a
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?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
No
Areas Driven
Miles driven weekly
4
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Trillium Driver Solutions
Company Trillium Driver Solutions
Start Date 08-2022
End Date 08-2022
Address
City, State/Province Zip/Postal Highland Heights, OH Country United States
Phone 440-***-****
Fax 855-***-****
Position Held
Reason for leaving? Didn't leave
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?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
Trillium
Company Trillium
Start Date 07-2022
5
End Date 07-2022
Address
City, State/Province Zip/Postal Fairfield, OH
Country United States
Phone 513-***-****
Position Held
Reason for leaving? I need job security
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?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
TransForce, Inc.
Company TransForce, Inc.
Start Date 05-2022
End Date 06-2022
Address
City, State/Province Zip/Postal Alexandria, VA
Country United States
Phone
Position Held
Reason for leaving? Too far away from me gas is too high Were you terminated/discharged/laid off? No
6
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?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Landair/Covenant transportation
Company Landair/Covenant transportation
Start Date 07-2021
End Date 04-2022
Address
City, State/Province Zip/Postal Akron, OH 44305
Country United States
Phone 234-***-****
Position Held
Reason for leaving? Sick family member
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
No
7
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 Tractor-Trailer
Most common trailer
Trailer length
Unemployment
Start Date 06-2021
End Date 06-2021
Comment
Unemployment
Start Date 05-2021
End Date 05-2021
Comment
Unemployment
Start Date 04-2021
End Date 04-2021
Comment
Westside transport columbus ohio
Company Westside transport columbus ohio
Start Date 03-2021
End Date 03-2021
Address
City, State/Province Zip/Postal Akron, OH
Country United States
Phone
Position Held
Reason for leaving? Pay too low. Disrespectful driver managers
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
May we contact this employer at this time? Yes
8
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?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
West Side Transport
Company West Side Transport
Start Date 12-2020
End Date 02-2021
Address
City, State/Province Zip/Postal Cedar Rapids, IA 43228 Country United States
Phone 319-***-****
Position Held
Reason for leaving? Still work here
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?
No
Areas Driven
9
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Unemployment
Start Date 11-2020
End Date 11-2020
Comment
Unemployment
Start Date 10-2020
End Date 10-2020
Comment
Unemployment
Start Date 05-2020
End Date 09-2020
Comment Unemployment. While caring for a loved
one. (Mrs.Barber)(Gma)
Landscaping
Company Landscaping
Start Date 04-2020
End Date 04-2020
Address
City, State/Province Zip/Postal Akron, OH 44305
Country United States
Phone 234-***-****
Position Held
Reason for leaving? Not enough money
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?
No
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
10
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
Most common trailer
Trailer length
Trillium drivers
Company Trillium drivers
Start Date 01-2020
End Date 04-2020
Address
City, State/Province Zip/Postal Akron, OH 44305
Country United States
Phone 347-***-****
Position Held
Reason for leaving? Family member no longer needs close attention
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?
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)
11
Most common truck driven
Most common trailer
Trailer length
Personal landscaping
Company Personal landscaping
Start Date 03-2020
End Date 03-2020
Address
City, State/Province Zip/Postal Akron, OH 44305
Country United States
Phone 234-***-****
Position Held
Reason for leaving? Ready to drive big again.
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
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
Prodrivers North Olmstead
Company Prodrivers North Olmstead
Start Date 10-2019
End Date 12-2019
Address
12
City, State/Province Zip/Postal North Olmstead, OH 44070 Country United States
Phone 440-***-****
Position Held
Reason for leaving? Hours not steady enough
Were you terminated/discharged/laid off? Yes
Termination Explanation They already knew i was seeking better employment. And let me go because i had
to call off on a weekend.
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?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Western Express
Company Western Express
Start Date 06-2019
End Date 10-2019
Address
City, State/Province Zip/Postal Nashville, TN 37209 Country United States
Phone 615-***-****
Fax 615-***-****
Position Held
13
Reason for leaving? Treated unprofessional. They do not respect or value drivers
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
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Unemployment
Start Date 07-2018
End Date 05-2019
Comment
Reese trucking
Company Reese trucking
Start Date 04-2018
End Date 06-2018
Address
City, State/Province Zip/Postal Dover, OH
Country United States
Phone
Position Held
Reason for leaving? Mistreated & underpaid
Were you terminated/discharged/laid off? No
Is this your current employer? No
14
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
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Western Express
Company Western Express
Start Date 11-2017
End Date 04-2018
Address
City, State/Province Zip/Postal Nashville, TN 37209 Country United States
Phone 615-***-****
Fax 615-***-****
Position Held
Reason for leaving? Bad company
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
Yes
15
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 Tractor-Trailer
Most common trailer
Trailer length
Swift Transportation
Company Swift Transportation
Start Date 08-2017
End Date 10-2017
Address
City, State/Province Zip/Postal Phoenix, AZ
Country United States
Phone
Position Held
Reason for leaving? Bad trainers
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
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
16
Trailer length
Unemployment
Start Date 07-2015
End Date 07-2017
Comment
Unemployment
Start Date 05-2009
End Date 05-2014
Comment
Trucking School
Start Date 08-2017
End Date 10-2017
School Swift academy
Address
Address 2
City, State/Province Columbus, OH
Country United States
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 200
Border Crossing Yes
Log Books Yes
Federal Motor Carrier Regulations Yes
Hazardous Materials Yes
17
Education
School Name Herzing university
Start Date 06-2014
End Date 06-2015
City, State/Province Akron, OH
Country United States
What did you study? Information technology
Phone
Graduation Date
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? Violation Date 07-2019
Charge / Description Failure to Obey Signal
Violation State/Province PA
In Commercial Vehicle Yes
Fined? Yes
License Suspended?
License Revoked?
Perform Community Service?
Other Penalty?
Fine Amount (if any): 100 - $199
Comments: Their was hidden stopsign behind a
growing tree. And i see that the officer that
sits right in front of it only does so to ticket
drivers. (He counts to 5 seconds for each
vehicle he says) This was on a dead end
left turn only distribution center entrance.
18
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? Violation Date 01-2018
Charge / Description Other
Violation State/Province VA
In Commercial Vehicle Yes
Fined? Yes
License Suspended?
License Revoked?
Perform Community Service?
Other Penalty?
Fine Amount (if any): 100 - $199
Comments: Minor traffic infraction. Rustburg, Va
Signature
Full Name Christopher Maurice Barber
IP Address 174.231.208.215
Signature Date/Time 09-13-2022 11:38 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: 09-13-2022 11:38 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
Yes
19
signature is as legally binding as an ink
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
Additional Consent or Certification
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 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
Yes
20
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.
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
21
DISCLOSURE FOR CONSUMER REPORTS
In connection with your application for employment or independent contractor application, KLLM Transport Services, LLC ("Company") 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 become an independent contractor for Company, additional consumer reports may be obtained in connection with and throughout your employment for employment purposes or for the legitimate business purpose of evaluating continued business with you as an independent contractor. 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 Maurice Barber
Social Security #:
7882
Signed Date: 09-13-2022
Christopher Maurice Barber
906 Sarcee Avenue
Akron, OH 44305
Gender:
22
AUTHORIZATION FOR CONSUMER REPORTS
I authorize KLLM Transport Services, LLC to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired or contracted with as an 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 Maurice Barber
Social Security #:
7882
Signed Date: 09-13-2022
Christopher Maurice Barber
906 Sarcee Avenue
Akron, OH 44305
Gender:
23
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with KLLM Transport Services, LLC ("Company") or your application for consideration to lease equipment and drivers to Company as an independent contractor (collectively "Application"), Company, 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 is submitted in person, if the Company 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 Company 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 Company 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 is submitted by mail, telephone, computer, or other similar means, if the Company uses any information it obtains from FMCSA in a decision to not hire or contract with you or to make any other adverse decision regarding you, the Company 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 Company who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Company 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 Company 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 codriver 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, in a PSP report. The Company cannot obtain background reports from FMCSA without your authorization. AUTHORIZATION
If you agree that the Company may obtain such background reports, please read the following and sign below: I authorize KLLM Transport Services, LLC ("Company") 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 Company to make a determination regarding my suitability as an employee or contractor.
I further understand that neither the Company 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 Data Q system to