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A Driver Postal

Location:
Akron, OH
Posted:
May 15, 2023

Contact this candidate

Resume:

KLLM Transport Services, LLC

*** ********* **.

Richland, MS 39218

1-800-***-****

**-**-**** **: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

234-***-****

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

234-***-****

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



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