Professional CDL driver
Resume:
Eagle Transport Corporation
Rocky Mount, NC 27804
**-**-**** **:18:15PM CDT
IntelliApp
Active Jobs
Job Name SC-NA-DRP Day Shift (2 WDs Off)
Job Title CDL Petro Driver Local (Day) 2 WDs Off
Personal Information
Referral Code: ETCWebsiteSC
Name Wilson Lamont Fullington
Residence 3 years or longer (If No,
previous addresses shown below)
No
Current Address 2804 Woodcock Court
City, State/Province Zip/Postal Hepzibah, GA 30815 Country United States
Addresses Over last 3 years Address 1
2804 Woodcock Court
Hepzibah, GA 30815
United States
10-2022 to 03-2023
Address 2
1180 Carl Dr
FAIRFAX, SC 29827
United States
10-2018 to 10-2022
SSN/SIN 4914
Date of Birth
Primary Phone 803-***-****
Cell Phone 803-***-****
Preferred method of contact Cell Phone
Best time to contact you Any
Email adwgwn@r.postjobfree.com
Yes, I agree to receive information
concerning future opportunities or
promotions from Eagle Transport
Corporation by email or other commercial
electronic communications.
Yes
1
Would you like to receive communication
from Eagle Transport Corporation 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 Eagle
Transport Corporation's service provider
receives in real time and logs your text
messages with Eagle Transport
Corporation.
Yes
Company Questions
What type of position are you applying for? Driver What terminal are you applying for? North Augusta SC How did you hear about us? Eagle Employee
If you were referred by an Eagle
employee, please enter his or her name
here:
James Butler IV
GENERAL INFORMATION:
Have you ever been discharged or
suspended from a job in the last 10
years? (yes/no) If no, indicate no. If yes,
explain when and why:
No
List the Name, Occupation, Location and
Relationship of any relatives working for
Eagle Transport Corporation:
None
In accordance with section 391.11(b)(2)
of the Federal Motor Carriers Safety
Regulations are you able to read, write
and speak the English language?
Yes
Have you the legal right to work in the
United States?
Yes
Have you ever worked for this company
before? If yes, where and when?
No
EDUCATION:
NOTE: DO NOT enter Trucking School information in this section. This will be captured in a separate section later in your application.
Please list your High School & College
information, including dates attended and
Allendale Fairfax High, 1994-1998
2
areas of study.
What is the highest grade you completed? 12
Certifications, Accreditations & Other
Training [NOTE: DO NOT enter Trucking
School information in this section. This will
be captured in a separate section later in
your application.]
MISCELLANEOUS:
1) Will you accept company recommended
medical facilities for work related injuries?
Yes
Please Explain:
2) Would you be willing to relocate? Yes
3) Are you aware that you will work
irregular hours, days, including weekends
and in all types of weather?
Yes
4) Do you have reliable transportation to
work?
Yes
5) Do you currently hold Transportation
Worker Identification Credentials (TWIC)?
Yes
DRIVING EXPERIENCE
1) List states operated in for last five years: Georgia, South Carolina, North Carolina 2) Which Safe Driving Awards do you hold,
and from whom?
None
3) Have you ever hauled hazardous
material loads? If yes, when?
No
4) Have you ever hauled hazardous waste
loads? If yes, when?
No
Licenses
License Number 808
Licensing Authority GA
Country US
License Class Class A
License Expiration Date 11-10-2022
Physical Expiration Date 08-10-2030
Current License Yes
Commercial Driver License Yes
Endorsements
3
Tanker Endorsement Yes
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
Employment / Unemployment
Coastal Waste & Recycling
Company Coastal Waste & Recycling
Start Date 09-2022
End Date 03-2023
Address 3925 Goshen Industrial Blvd, A
City, State/Province Zip/Postal Augusta, GA 30906
Country United States
Phone 706-***-****
Position Held CDL Residential Driver
Reason for leaving? Currently still working
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 Augusta, GA Area
Miles driven weekly 0-500
Pay Range (cents/mile) 25.00 Hourly
Hours Per Week 60
Most common truck driven Day Cab
Most common trailer Other
4
Trailer length Other
Epes Transport System, LLC.
Company Epes Transport System, LLC.
Start Date 04-2022
End Date 09-2022
Address 3400 Edgefield Court
City, State/Province Zip/Postal Greensboro, NC 27409 Country United States
Phone 800-***-****
Fax 888-***-****
Position Held CDL Driver
Reason for leaving? New Job
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 Georgia, South Carolina, North Caroline Miles driven weekly 2500-3000
Pay Range (cents/mile) .50
Hours Per Week 50-60
Most common truck driven Cabover Tractor
Most common trailer Van
Trailer length 53 feet or more
Butler's Hauling
Company Butler's Hauling
Start Date 03-2016
End Date 04-2022
Address 3701 Stockholm Drive
5
City, State/Province Zip/Postal Augusta, GA 30906
Country United States
Phone 706-***-****
Position Held CDL Driver
Reason for leaving? New Job
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 GA, SC, NC, FL, AL, TN
Miles driven weekly 3500+
Pay Range (cents/mile) 1.25 mile
Hours Per Week 50-60
Most common truck driven Cabover Tractor
Most common trailer Container
Trailer length 45 to 52 feet
Plant Vogtle
Company Plant Vogtle
Start Date 01-2013
End Date 12-2015
Address 7228 River rd
City, State/Province Zip/Postal Augusta, GA 30830
Country United States
Phone 706-***-****
Fax 864-***-****
Position Held Escort/Construction Flagge
Reason for leaving? Laid Off
Were you terminated/discharged/laid off? Yes
6
Termination Explanation Laid off due to lack of work. 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)
Hours Per Week 60+
Most common truck driven
Most common trailer
Trailer length
Education
School Name Extra Mile Trucking Driving School
Start Date 01-2016
End Date 02-2016
City, State/Province Bishopville, SC
Country US
What did you study? CDL Training
Phone 866-***-****
Graduation Date
FMCSR
Under FMCSR 391.15, are you currently
disqualified from driving a commercial
motor vehicle? [49 CFR 391.15]
No
Has your license, permit or privilege to
drive ever been suspended or revoked for
any reason? [49 CFR 391.21(b)(9)]
Yes
7
Please provide additional detail, including the dates of the suspension(s)/revocation(s): Child Support Payment
Have you ever been denied a license,
permit, or privilege to operate a motor
vehicle?[49 CFR 391.21(b)(9)]
No
Within the past two years, have you tested
positive, or refused to test, on a
pre-employment drug or alcohol test by an
employer to whom you applied, but did not
obtain, safety-sensitive transportation work
covered by DOT agency drug and alcohol
testing rules? [49 CFR 40.25(j)]
No
In the past three(3) years, have you ever
been convicted of any of the following
offenses: [49 CFR 391.15]:
Driving a commercial motor vehicle
with a blood alcohol concentration
("BAC") of .04 percent or more
·
Driving under the influence of
alcohol, as prescribed by state law
·
Refusal to undergo drug and
alcohol testing as required by any
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
8
Vehicle Accident Record
Please complete detail record for each incident and be prepared to provide Police/Accident Report upon request.
Were you involved in any accidents/incidents with any vehicle in the last 7 years (even if not at fault)?
No Accidents
Traffic Convictions \ Violations
Please complete detail record for each incident.
Have you had any moving violations or traffic convictions in the past 7 years? Violation Date 02-2019
Charge / Description Speeding
MPH Over Limit: 10
Violation State/Province SC
In Commercial Vehicle No
Fined? Yes
License Suspended?
License Revoked?
Perform Community Service?
Other Penalty?
Fine Amount (if any): 100 - $199
Comments: None
Criminal Record
Please provide information for the last 7 years: If answer is yes, please explain 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
No
9
prosecution deferred in connection with, or
pled "no contest" to a misdemeanor?
Have you ever been convicted, pled guilty
to or otherwise had a criminal disposition
result in any matter other than not guilty to
a criminal offense?
No
Signature
Full Name Wilson Lamont Fullington
IP Address 2601:100:8801:a2
Signature Date/Time 03-29-2023 12:18 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: 03-29-2023 12:18 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
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
Yes
10
legally binding as an ink signature.
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
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
Yes
11
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 adwgwn@r.postjobfree.com.
Yes
12
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment application, Eagle Transport Corporation 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, additional consumer reports may be obtained in connection with and throughout your employment for employment purposes.
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:
Wilson Lamont Fullington
Social Security #:
4914
Signed Date: 03-29-2023
Wilson Lamont Fullington
2804 Woodcock Court
Hepzibah, GA 30815
Gender:
13
AUTHORIZATION FOR CONSUMER REPORTS
I authorize Eagle Transport Corporation to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired, 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:
Wilson Lamont Fullington
Social Security #:
4914
Signed Date: 03-29-2023
Wilson Lamont Fullington
2804 Woodcock Court
Hepzibah, GA 30815
Gender:
14
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Eagle Transport Corporation ("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 Eagle Transport Corporation ("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:
Wilson Lamont Fullington
Signed Date: 03-29-2023
15
16
Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse
I hereby provide consent to Eagle Transport Corporation to conduct a limited query of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I understand this consent shall remain on file and shall serve as ongoing consent for Eagle Transport Corporation to conduct multiple limited queries of the Clearinghouse at any time during my employment or contract period without asking me for additional consent. I understand that if I refuse to provide consent for Eagle Transport Corporation to conduct a limited query of the Clearinghouse, Eagle Transport Corporation is required to prohibit me from performing safety-sensitive functions, including operating a commercial motor vehicle.
I understand that if the limited query conducted by Eagle Transport Corporation indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Eagle Transport Corporation unless I give additional specific consent within the Clearinghouse. However, I understand that Eagle Transport Corporation will be required to conduct a full query of the Clearinghouse within 24 hours after a limited query indicates that drug or alcohol information exists and that if I do not grant consent within the Clearinghouse for that full query I will be removed from performing safety-sensitive functions, including operating a commercial motor vehicle.
03-29-2023
Wilson Lamont Fullington Date
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 03-29-2023
Date
X 4914
Social Security Number
Wilson Lamont Fullington
2804 Woodcock Court
Hepzibah, GA 30815
Gender:
X Wilson Lamont Fullington
Print Name (First, MI, Last)
X
Signature
I, the above mentioned signer, hereby authorize Coastal Waste & Recycling To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances testing/training records to Eagle Transport Corporation DISCLOSURE AND AUTHORIZATION UNDER 49 C.F.R. PART 391.23
(INCLUDING DOT DRUG AND ALCOHOL INFORMATION)
TFor purposes of an investigation in accordance with 49 C.F.R. Part 391.23, I authorize my previous employers, contractors (if owner-operator), and trucking schools, as applicable, to release and forward to Eagle Transport Corporation the following information for the past three (3) years:
DOT alcohol and controlled substance information in accordance with Parts 382 and 40 of the Federal Motor Carrier Safety Regulations (49 CFR Part 382 and 49 CFR Part 40, Section 40.25) limited to the following DOT regulated testing items, including pre-employment testing results: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested; (iv) other violations of DOT agency drug and alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation; and (vi) documentation, if any, of completion of the return-to-duty process following a rule violation.
1.
Safety performance history information in accordance with 49 CFR Part 391.23, which includes: employment dates, work history (which may include position held, reason for leaving, any termination information, whether subject to the Federal Motor Carrier Safety Administration regulations, equipment experience, area driven, and other information as applicable) and accident information (including accident date, nature of accident, whether it was preventable, whether there were injuries, fatalities, or hazardous materials involved, and copies of any accident report). 2.
Pursuant to Section 391.23(i) of the Federal Motor Carrier Safety Regulations, you have the following rights with regard to the information released:
You have the right to make a written request at any time to review the information provided by previous employers, contractors (if owner-operator), or trucking schools, as applicable. 1.
You have the right to have errors in the information corrected by the previous employer, contractor (if owner-operator), or trucking school, as applicable and for that employer, contractor (if owner-operator), or trucking school to re-send the corrected information.
2.
You have the right to have a rebuttal statement attached to the alleged erroneous information if the previous employer, contractor (if owner-operator), or trucking school and you cannot agree on the accuracy of the information. 3.
In the three years prior to the date of the employee's signature (on the release), for DOT-regulated testing: 1. Did the employee have alcohol tests with a result of 0.04 or higher? (Circle One) Yes No 2. Did the employee have verified positive drug tests? (Circle One) Yes No 3. Did the employee refuse to be tested? (Circle One) Yes No 4. Did the employee have other violations of DOT agency drug and alcohol testing regulations? (Circle One) Yes No 5. Did a previous employer report a drug and alcohol rule violation to you? (Circle One) Yes No 6. If you answered "yes" to any of the above items, did the employee complete the return-to-duty process? N/A Yes No NOTE: If you answered "yes" to item 5, you must provide the previous employer's report. If you answered "yes" to item 6, you must also transmit the appropriate return-to-duty documentation (e.g., SAP report(s), follow-up testing record). Signature Title Date
If Yes to any of the above questions, please give the SAP's (Substance Abuse Professional) name, address, and phone number. 18
Name Address Phone
19
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 03-29-2023
Date
X 4914
Social Security Number
Wilson Lamont Fullington
2804 Woodcock Court
Hepzibah, GA 30815
Gender:
X Wilson Lamont Fullington
Print Name (First, MI, Last)
X
Signature
I, the above mentioned signer, hereby authorize Epes Transport System, LLC. To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances testing/training records to Eagle Transport Corporation DISCLOSURE AND AUTHORIZATION UNDER 49 C.F.R. PART 391.23
(INCLUDING DOT DRUG AND ALCOHOL INFORMATION)
TFor purposes of an investigation in accordance with 49 C.F.R. Part 391.23, I authorize my previous employers, contractors (if owner-operator), and trucking schools, as applicable, to release and forward to Eagle Transport Corporation the following information for the past three (3) years:
DOT alcohol and controlled substance information in accordance with Parts 382 and 40 of the Federal Motor Carrier Safety Regulations (49 CFR Part 382 and 49 CFR Part 40, Section 40.25) limited to the following DOT regulated testing items, including pre-employment testing results: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested; (iv) other violations of DOT agency drug and alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation; and (vi) documentation, if any, of completion of the return-to-duty process
Contact this candidate