United States Cell Phone
Resume:
PGT Trucking Inc
Recruiting Dept
Aliquippa, PA 15001
**-**-**** *:41:27AM CDT
IntelliApp
Personal Information
Referral Code: lindaroderick
Name David Scott Piner
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
Current Address 204 East 3rd Ave.
City, State/Province Zip/Postal Altoona, PA 16602
Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 0487
Date of Birth
Primary Phone 814-***-****
Cell Phone 814-***-****
Email *************@*****.***
Yes, I agree to receive information
concerning future opportunities or
promotions from PGT Trucking Inc by
email or other commercial electronic
communications.
Yes
Would you like to receive communication
from PGT Trucking Inc 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 PGT
Trucking Inc's service provider receives in
real time and logs your text messages with
PGT Trucking Inc.
Yes
1
Company Questions
GENERAL INFORMATION
What position are you applying for? Company Driver If you answered "Owner Operator" or
"Fleet Owner", select yes.
No
EQUIPMENT (OWNER/OPERATORS ONLY)
Equipment Description (Tractor):
Type:
Year:
Make:
Model:
VIN:
Weight
Mileage
Do you have a Headache Rack?
Have you spoken to a recruiter? Linda
Are you legally eligible for employment in
the United States?
Yes
Are you currently employed? Yes
What date did your last employment end?
Are you currently under contract with any
other motor carrier or CDL school?
No
Please explain:
Do you read, write, and speak English? Yes
What is your preferred language? English
Have you ever worked for this company
before?
No
Enter start and end dates, location,
position, and reason for leaving:
Do you have a current TWIC card? No
Expiration date:
Have you ever been known by any other
name?
No
Enter name:
How did you hear about us? Internet Search
If "Driver Referral", please enter the
driver's name
No
2
If "Other", please explain
Emergency Contact Name: Gayla Piner
Emergency Contact Phone Number: 814-***-****
What is your T-Shirt size? XXL
DRIVING EXPERIENCE
For each question/type of equipment below, please select the amount of experience you have:
Years of Class A Experience: 3-4 years
Years of Flatbed Experience: Less than 1 year
Years of Hauling Coils: None
Other Triaxle
EDUCATION
List highest grade completed: Grade 12
Licenses
License Number 543
Licensing Authority PA
Country US
License Class Class A
License Expiration Date 08-14-2025
DOT Medical Card Expiration Date 04-12-2023
Current License Yes
Commercial Driver License Yes
Endorsements
Tanker Endorsement Yes
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
3
Employment / Unemployment
Hri Inc
Company Hri Inc
Start Date 06-2024
End Date 05-2025
Address 1399 Forest Ave
City, State/Province Zip/Postal State College, PA 16823 Country United States
Phone 814-***-****
Position Held Driver
Reason for leaving? Currently employed
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 Pennsylvania
Miles driven weekly 1000-1500
Pay Range (cents/mile) 24.50/hr
Most common truck driven Class B Vehicle
Most common trailer Other
Trailer length Other
Roadsafe traffic Systems
Company Roadsafe traffic Systems
Start Date 05-2024
End Date 06-2024
Address 1060 Mill Run Road
City, State/Province Zip/Postal Altoona, PA 16601 Country United States
4
Phone 814-***-****
Position Held Traffic control technician
Reason for leaving? Other employment
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
Unemployment
Start Date 02-2024
End Date 05-2024
Comment Unemployed
Sheetz
Company Sheetz
Start Date 05-2023
End Date 02-2024
Address 242 Sheetz Way
City, State/Province Zip/Postal Duncansville, PA 16625 Country United States
Phone 814-***-****
Position Held Driver Assistant
Reason for leaving? Injured
Were you terminated/discharged/laid off? No
5
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
Rabbit Transit
Company Rabbit Transit
Start Date 04-2023
End Date 05-2023
Address 901 N Cameron St
City, State/Province Zip/Postal Harrisburg, PA 17101 Country United States
Phone 717-***-****
Position Held Driver
Reason for leaving? Other employment
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
6
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Areas Driven Harrisburg
Miles driven weekly 0-500
Pay Range (cents/mile) 27/hr
Most common truck driven Bus - Straight
Most common trailer Other
Trailer length 45 to 52 feet
C Noel Construction
Company C Noel Construction
Start Date 08-2020
End Date 04-2023
Address 566 Scenic Deive
City, State/Province Zip/Postal Hollidaysburg, PA 16648 Country United States
Phone 814-***-****
Position Held Carpenter
Reason for leaving? Other employment
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
7
Trailer length
LR Costanzo
Company LR Costanzo
Start Date 05-2020
End Date 08-2020
Address 123 N Main Avenue
City, State/Province Zip/Postal Scranton, PA 18504 Country United States
Phone 570-***-****
Position Held Carpenter Union
Reason for leaving? Laid off
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
JC Orr
Company JC Orr
Start Date 09-2018
End Date 05-2020
Address 428 7th Avenue
City, State/Province Zip/Postal Altoona, PA 16602 Country United States
8
Phone 814-***-****
Position Held Carpenter Union
Reason for leaving? Other emoyment
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
LR Costanzo
Company LR Costanzo
Start Date 03-2020
End Date 05-2020
Address 123 Main Avenue
City, State/Province Zip/Postal Scranton, PA 18504 Country United States
Phone
Position Held Carpenter
Reason for leaving? Laid off
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 No
9
vehicle?
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
JC Orr
Company JC Orr
Start Date 09-2018
End Date 03-2020
Address 423 7th Ave
City, State/Province Zip/Postal Altoona, PA 16602 Country United States
Phone 814-***-****
Position Held Carpenter
Reason for leaving? Laid off
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
10
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
LS Fiore
Company LS Fiore
Start Date 06-2006
End Date 08-2018
Address 5506 6th Avenue rear
City, State/Province Zip/Postal Altoona, PA 16602 Country United States
Phone 814-***-****
Position Held Construction worker/Driver
Reason for leaving? Other Employment
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 Altoona Pa and surrounding area
Miles driven weekly 500-1000
Pay Range (cents/mile)
Most common truck driven LC Truck
Most common trailer Flatbed
Trailer length 31 feet or less
L.S.Fiore
Company L.S.Fiore
Start Date 06-2006
End Date 08-2014
11
Address 5506 6th Avenue rear
City, State/Province Zip/Postal Altoona, PA 16602
Country United States
Phone 814-***-****
Position Held Driver
Reason for leaving? Still Employed
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?
Yes
Areas Driven Altoona State College Johnstown
Miles driven weekly 500-1000
Pay Range (cents/mile) Hourly
Most common truck driven Class B Vehicle
Most common trailer Flatbed
Trailer length 45 to 52 feet
Mid State Drywall
Company Mid State Drywall
Start Date 11-2002
End Date 06-2006
Address 2720 old rt 22
City, State/Province Zip/Postal Duncansville, PA 16648 Country United States
Phone 814-***-****
Position Held Carpenter
Reason for leaving? Other Employment
Were you terminated/discharged/laid off? No
Is this your current employer? No
12
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?
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
Most common trailer
Trailer length
Trucking School
Start Date 02-2012
End Date 04-2012
School CPI
Address
Address 2
City, State/Province Pleasant Gap, PA
Country United States
Phone 814-***-****
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 No
13
Log Books Yes
Federal Motor Carrier Regulations Yes
Hazardous Materials No
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
·
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
·
No
14
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)?
No Accidents
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? No Violations
Signature
Full Name David Scott Piner
IP Address 172.69.6.158
Signature Date/Time 05-31-2025 9:41 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: 05-31-2025 9:41 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)
Yes
15
agree to use an electronic signature to
demonstrate my consent. An electronic
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
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
16
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
17
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment or owner-operator (independent contractor) application, PGT Trucking Inc 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:
David Scott Piner
Social Security #:
0487
Signed Date: 05-31-2025
David Scott Piner
204 East 3rd Ave.
Altoona, PA 16602
18
AUTHORIZATION FOR CONSUMER REPORTS
I authorize PGT Trucking Inc 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:
David Scott Piner
Social Security #:
0487
Signed Date: 05-31-2025
David Scott Piner
204 East 3rd Ave.
Altoona, PA 16602
19
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with PGT Trucking Inc ("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 PGT Trucking Inc ("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:
David Scott Piner
Signed Date: 05-31-2025
20
Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse
I hereby provide consent to PGT Trucking Inc 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 PGT Trucking Inc 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 PGT Trucking Inc to conduct a limited query of the Clearinghouse, PGT Trucking Inc 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 PGT Trucking Inc indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to PGT Trucking Inc unless I give additional specific consent within the Clearinghouse. However, I understand that PGT Trucking Inc 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. 05-31-2025
David Scott Piner Date
21
Request/Consent for Information from Previous Employer(s)/Carrier(s) For Safety Performance History pursuant to 49 CFR Section 391.23 of the FMCSA regulations X 05-31-2025
Date
X 0487
Social Security Number
David Scott Piner
204 East 3rd Ave.
Altoona, PA 16602
X David Scott Piner
Print Name (First, MI, Last)
X
Signature
I, the above mentioned signer, hereby authorize Hri Inc To release and forward in accordance with the following regulation, all known information pertaining to my Safety Performance History to PGT Trucking Inc
DISCLOSURE AND AUTHORIZATION UNDER 49 C.F.R. PART 391.23 INCLUDING DOT DRUG AND ALCOHOL INFORMATION
For 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 PGT Trucking Inc ("Company") the following information for the past three (3) years:
1. DOT alcohol and controlled substance information in accordance with Parts 382 and 40 of the
Contact this candidate