Dba Dot
Resume:
Fusionsite Services LLC
Nashville, TN 37209
**********@******************.***
**-**-**** *:39:46PM CST
IntelliApp
Thank you for your interest in the Fusionsite Services LLC Family of Companies: Fusionsite
Asheville LLC
DBA: Griffin Waste
432 Old Leicester
Hwy
Asheville, NC 28806
Fusionsite
Charlotte LLC
DBA: A Sani-Can
8151 Webbs Rd
Denver, NC 28037
DOT# 539275
Fusionsite
Charlotte LLC
DBA: ASC
8151 Webbs Rd
Denver, NC 28037
DOT# 3076424
Fusionsite Florida
LLC
DBA: Premier
Portables LLC
5420 Division Dr.
Ft. Meyers, FL
33905
DOT# 3953861
Fusionsite Florida
LLC
DBA: Clear Away
Freedom Waste
Services
940 NE Dixie Hwy
Jensen Beach, FL
34957
DOT# 1378312
Fusionsite Georgia
LLC
DBA: Portable
Services Inc.
1831 Old Savannah
Rd
Augusta, GA 30901
DOT# 892867
Fusionsite Georgia
LLC
DBA: Portable
Toilets of Georgia
LLC
175 Miller Academy
Rd
Carrollton, GA
30117-6862
DOT# 3375277
Fusionsite Georgia
LLC
DBA: Georgia
Container Inc.
175 Miller Academy
Rd
Carrollton, GA
30117-6862
DOT# 1323114
Fusionsite
Kentucky LLC
DBA: Moon
Portable
Restrooms, Bullitt
County Septic
2021 Dubourg Ave
Louisville, KY 40216
DOT# 1236291
Fusionsite
Kentucky LLC
DBA: Moon Leasing
and Moon Trailer
Leasing
2021 Dubourg Ave
Louisville, KY 40216
DOT# 1425561
Fusionsite
Kentucky LLC
DBA: Moon Minis
LLC, Go Minis and
Moon Dumpsters
2021 Dubourg Ave
Louisville, KY 40216
DOT# 1524218
Fusionsite
Kentucky LLC
DBA: Blue Moon
Restrooms Inc.
109 Means Dr
Nicholasville, KY
40356
DOT# 1598783
Fusionsite
Memphis LLC
DBA: Safety Quip
Inc.
4950 Getwell Rd
Memphis, TN 38118
DOT# 932698
Fusionsite
Mississippi LLC
DBA: Gotta Go Site
Service Rental
120 Hwy 49 North
Jackson, MS 39209
Fusionsite Ohio
LLC
DBA: Rent A John
4522 Lockbourne
Rd.
Columbus, OH
43207
DOT# 535019
Fusionsite Ohio
LLC
DBA: C & L
Sanitation Inc.
27545 Glenwood
Rd
Perrysburg, OH
43551
DOT# 819473
Fusionsite Ohio
LLC
DBA: Safe-Way
Barricades
27545 Glenwood
Rd
Fusionsite
Pennsylvania LLC
DBA: Port A Bowl
Restrooms
5519 Old Easton Rd
Doylestown, PA
Fusionsite
Services New York
LLC
DBA: A-John
901 Route 52
Walden, NY 12586
Fusionsite
Services New York
LLC
DBA: A-1 Portable
Toilets
901 Route 52
1
Perrysburg, OH
43551
DOT# 821331
18902
DOT# 1142317
DOT# 1348255 Walden, NY 12586
DOT# 1348230
Fusionsite
Tennessee LLC
DBA: MC Septic
Services LLC
250 State St
Greeneville, TN
37743
DOT# 2272554
Fusionsite
Tennessee LLC
DBA: Bolles
Company
1850 Polymer Dr
Chattanooga, TN
37421
DOT# 494299
Fusionsite Texas
LLC
DBA: A Clean
Portoco
2206 W. Teege Ave
Harlingen, TX
78552
DOT# 1797532
Fusionsite West
Florida LLC
DBA: JW Craft
4329 Enterprise Ave
Naples, FL 34104
DOT# 1159557
Fusionsite West
Florida LLC
DBA: JM Stevens
Services Inc.
7812 Regal Heron
Dr
Naples, FL 34104
DOT# 1831667
Fusionsite
Wisconsin LLC
DBA: Bucky's
Dumpsters and
Restrooms
1185 US Hwy 14
Oregon, WI 53575
DOT# 1653404
Fusionsite
Wisconsin LLC
DBA: Stranders
Sanitary Service
LLC
N 2535 County Rd
V Lodi, WI 53555
DOT# 2173823
Fusionsite Virginia
LLC
DBA: R&R
Enterprises
3572 Peppers Ferry
Rd
Wytheville VA
24382
DOT# 1550081
FusionSite Little
Rock LLC
DBA: Arkansas
Portable Toilets
924 W 15th St
N Little Rock, AR
72114
Fusionsite
Clarksville LLC
DBA: FusionSite
3500 Dover Rd
Woodlawn, TN
37191
Fusionsite
Tennessee LLC
DBA: FusionSite
2818 Whites Creek
Pk
Nashville, TN 37207
Fusionsite
Tennessee LLC
DBA: East
Tennessee
Portables
6618 Rutledge Pk
Knoxville TN 37924
Fusionsite
Fayetteville LLC
DBA: Arkansas
Portable Toilets NW
1975 Morningside
Dr
Fayetteville AR
72701
Fusionsite Florida
LLC
DBA: Porta Serve
25370 NW 8th Lane
(PO Box 27)
Newberry, FL 32669
Fusionsite
Midwest LLC
DBA: FusionSite
5910 4th Street SW
Cedar Rapids, IA
52404
Fusionsite Texas
LLC
DBA: Forza
2515 86th St
Lubbock, TX 79423
DOT# 2839619
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. If you need a reasonable accommodation for any part of the employment process, please contact us by email at **********@******************.*** and let us know. Requests will be considered on a case-by-case basis. For more Information Click here Position City State/Province
P&D Driver Greensboro NC
2
Personal Information
Referral Code: jp_indeed
Name Khem B Bista, Sr.
Current Address 2915 Moser Rd
City, State/Province Zip/Postal Greensboro, NC 27406 Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
No
Addresses Over last 3 years Ok (72 N Thomas Rd Apt 4a Tallmadge Ohio 44278,(3 Years)2. 581patterson Ave
Akron Ohio 44310 (1.5years)
SSN/SIN 8345
Date of Birth
Primary Phone 330-***-****
Cell Phone 330-***-****
Email ***********@*****.***
Yes, I agree to receive information
concerning future opportunities or
promotions from Fusionsite Services LLC
by email or other commercial electronic
communications.
Yes
Would you like to receive communication
from Fusionsite 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
may opt out at any time by texting STOP to
unsubscribe. You also agree that
Fusionsite Services LLC's service provider
receives in real time and logs your text
messages with Fusionsite Services LLC.
Yes
Company Questions
GENERAL INFORMATION
Are you legally eligible for employment in
the United States?
Yes
Date you can start: 11/09/2024
What is your expected Pay rate? 18
3
Have you ever worked for this company
before?
No
Enter start and end dates, location,
position, and reason for leaving:
How did you hear about us? Other
If "Referral", please enter the person's
name
If "Other", please explain
Do you read, write, and speak English? Yes
Have you ever been known by any other
name?
No
Enter name:
Licenses
License Number 858
Licensing Authority OH
Country US
License Class
License Expiration Date 01-01-2031
DOT Medical Card Expiration Date
Current License Yes
Commercial Driver License No
Endorsements
Tanker Endorsement No
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
Restrictions
No Night Driving No
Corrective Lenses No
No Air Brakes No
No Manual Transmission No
Other Restriction No
4
Employment / Unemployment
Plastipak packaging inc
Company Plastipak packaging inc
Start Date 05-2024
End Date 11-2024
Address
City, State/Province Zip/Postal Medina, OH
Country United States
Phone
Position Held
Reason for leaving? Moving to another state
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 subject to drug and
alcohol testing?
Most common truck driven
Most common trailer
Trailer length
JR Engineering
Company JR Engineering
Start Date 08-2023
End Date 05-2024
Address
City, State/Province Zip/Postal Barberton, OH
Country United States
Phone
Position Held
Reason for leaving? Getting hired to other company 5
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 subject to drug and
alcohol testing?
Most common truck driven
Most common trailer
Trailer length
Unemployment
Start Date 04-2023
End Date 07-2023
Comment Family issues
Steere Enterprises Inc
Company Steere Enterprises Inc
Start Date 06-2019
End Date 03-2023
Address
City, State/Province Zip/Postal Tallmadge, OH
Country United States
Phone
Position Held
Reason for leaving? Family matters
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
6
Regulations while employed/contracted by
this employer/contractor?
Did you perform any safety sensitive
functions in this job subject to drug and
alcohol testing?
Most common truck driven
Most common trailer
Trailer length
FMCSR
Under FMCSR 391.15, are you currently
disqualified from driving a commercial
motor vehicle? [49 CFR 391.15]
No
Has your license, permit or privilege to
drive ever been suspended or revoked for
any reason? [49 CFR 391.21(b)(9)]
No
Have you ever been denied a license,
permit, or privilege to operate a motor
vehicle?[49 CFR 391.21(b)(9)]
No
Within the past two years, have you tested
positive, or refused to test, on a
pre-employment drug or alcohol test by an
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
·
No
7
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
·
Vehicle Accident Record
Were you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?
Type of Accident / Incident Non-Injury
Date of Accident / Incident 11-2023
Hazmat Accident / Incident
Was the vehicle towed away?
City
State/Province OH
Were you in a commercial vehicle? No
If yes, was this a Department of
Transportation recordable accident?
Were you at fault? No
Were you ticketed? No
Description On my way to work other driver try to
overtake me from back and I didn't see the
car try to pass on my left turn signal so he/
she hit my car which was I don't have fault.
That's it.
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? No Violations
8
Signature
Full Name Khem B Bista, Sr.
IP Address 2603:6080:8900:281d:a422:9f6b:2bc6:156f Signature Date/Time 11-08-2024 5:39 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: 11-08-2024 5:39 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
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
Yes
9
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
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
1681m
By checking this box, I represent that I
understand and agree to the above
document.
Yes
INVESTIGATIVE CONSUMER REPORT DISCLOSURE
By checking this box, I represent that I
understand and agree to the above
document.
Yes
10
User Requested Copy
User requested a copy to be sent to this
email address ***********@*****.***.
Yes
11
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment or owner-operator (independent contractor) application, Fusionsite Services LLC 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 engaged as an owner-operator (independent contractor), additional consumer reports may be obtained in connection with and throughout your employment for employment purposes or for the legitimate business purpose of evaluating you as an owner-operator.
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 (including but not limited to CDLIS Central Site, CDLIS Master Pointer Record data and your driver record from the jurisdiction identified in the CDLIS data, in accordance with applicable state law and the Driver Privacy Protection Act), former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:
Khem B Bista, Sr.
Social Security #:
8345
Signed Date: 11-08-2024
Khem B Bista, Sr.
2915 Moser Rd
Greensboro, NC 27406
12
AUTHORIZATION FOR CONSUMER REPORTS
I authorize Fusionsite Services LLC to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired or engaged as an owner-operator (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:
Khem B Bista, Sr.
Social Security #:
8345
Signed Date: 11-08-2024
Khem B Bista, Sr.
2915 Moser Rd
Greensboro, NC 27406
13
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Fusionsite Services LLC ("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 Fusionsite Services LLC ("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:
Khem B Bista, Sr.
Signed Date: 11-08-2024
14
Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse
I hereby provide consent to Fusionsite Services LLC 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 Fusionsite Services LLC 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 Fusionsite Services LLC to conduct a limited query of the Clearinghouse, Fusionsite Services LLC 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 Fusionsite Services LLC indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Fusionsite Services LLC unless I give additional specific consent within the Clearinghouse. However, I understand that Fusionsite Services LLC 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.
11-08-2024
Khem B Bista, Sr. Date
15
1681m
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 Fusionsite Services LLC
('Company'):
HireRight, LLC
Attn: Consumers Dept.
14002 E 21st Street
Suite 1200
Tulsa, OK 74134
Phone: 866-***-****
Fax: 918-***-****
Email: ***************@*********.***
Web: http://www.hireright.com/applicants
DISA Global Solutions
10900 Corporate Centre Dr
Houston, TX 77041
https://disa.com/contact/applicant-assistance
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
Tenstreet
120 W. 3rd Street
Tulsa, OK 74103
Phone: 877-***-****
Email: *******@*********.***
Web: http://www.tenstreet.com/drivers/
·
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 background report, under various circumstances, including but not limited to where you receive notice that an adverse action has been taken toward you based on the consumer report. In that instance, Section 1681j provides a right to a free copy of the report provided that you make the request within 60 days of the date that you received notice of the adverse action.
·
15 U.S.C. 1681i provides for the right to dispute, with a consumer reporting agency the accuracy or completeness of any information in a consumer report furnished by the agency.
·
16
INVESTIGATIVE CONSUMER REPORT DISCLOSURE
Fusionsite Services LLC ("Company") will order an 'investigative consumer report' concerning you for employment purposes or, if you are an owner-operator (independent contractor), for the legitimate business purpose of evaluating your suitability for an independent contractor engagement pursuant to your written instructions. An 'investigative consumer report' is defined as a consumer report or portion thereof in which information on a consumer's character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with neighbors, friends, or associates of the consumer reported on or with others with whom he is acquainted or who may have knowledge concerning any such items of information.
The investigative consumer report the Company will order concerning you will contain information concerning your character, general reputation, personal characteristics, and mode of living, obtained through personal interviews. You have the right to request the additional disclosures provided for under the Fair Credit Reporting Act, 15 U.S.C. 1681d(b), which reads as follows:
Any person who procures or causes to be prepared an investigative consumer report on any consumer shall, upon written request made by the consumer within a reasonable period of time after the receipt by him of the disclosure required by subsection (a)(1) of this section, make a complete and accurate disclosure of the nature and scope of the investigation requested. This disclosure shall be made in a writing mailed, or otherwise delivered, to the consumer not later than five days after the date on which the request for such disclosure was received from the consumer or such report was first requested, whichever is the later. At present, the specific 'nature and scope' of the investigative consumer report the Company may request is as follows: Employment Verifications, Motor Vehicle Reports, CDLIS, Criminal Records, and PSP. The report(s) will be requested from the following: HireRight, LLC
Attn: Consumers Dept.
14002 E 21st Street
Suite 1200
Tulsa, OK 74134
Phone: 866-***-****
Fax: 918-***-****
Email: ***************@*********.***
Web: http://www.hireright.com/applicants
DISA Global Solutions
10900 Corporate Centre Dr
Houston, TX 77041
https://disa.com/contact/applicant-assistance
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
Tenstreet
120 W. 3rd Street
Tulsa, OK 74103
Phone: 877-***-****
Email: *******@*********.***
Web: http://www.tenstreet.com/drivers/
You have the right to request whether an investigative consumer report was ordered. You can also make a written request for a complete and accurate disclosure of the nature and scope of the investigation that was requested, request a copy of the report, a copy of any federal or state local notices of rights that may apply to you, or request the name, address and telephone number of the nearest unit of the consumer reporting agency designated to handle inquiries of each consumer reporting agency issuing an investigative consumer report about you, by sending a letter or email to the Company. You may also request and promptly receive from all such consumer reporting agencies free copies of any such investigative consumer reports. 17
MARYLAND: You have the right to
Contact this candidate