• -  Stockton, Modesto, Madera, Yuba City,  California  -
  • 209-466-9041

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Application For Employment

Antonini Freight Express, Inc.
-
Stockton, Modesto, Madera, Yuba City,  California  -
209-466-9041
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*If at current address less than 3 years, list below most recent addresses for the past 3 years. (Click on the Plus sign to add additional Previous Addresses.)
Had you ever worked for an Antonini company before? :*
 
What size T-shirt do you wear? (the company issues clothing):*
 
How did you hear about this opportunity? *
 
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Are you legally eligible for employment in the United States? :*
 
Are you able to perform the essential duties of the job with or without accommodations? (note: we comply with legal requirements regarding reasonable accommodation. If you would need an accommodation(s) to perform the essential duties of the job, please explain during your interview or at hire.) :*
 

Commercial Driver's License

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CDL Type *
Endorsements (check all that apply)
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Air Brake Restriction? *
Automatic Transmission Restriction
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Current DOT Medical Card *

Driving/Hauling Experience

Do you have a valid TWIC credential issued by Homeland Security?:*
 
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Additional Licenses

Accident Review for Past 3 Years

If no Accidents to report, you must check this box.
  No Accidents to report. *
Click on the Plus sign to add additional Accidents.
Last Accident

Traffic Convictions & Forfeitures for Past 3 Years

If no Traffic Convictions or Forfeitures to report, you must check this box.
  No Traffic Convictions or Forfeitures to report. *
Click on the Plus sign to add additional Traffic Convictions or Forfeitures.

Employment History

You must provide accurate dates of employment and phone numbers covering the last ten years (per DOT regulation). We cannot hire you without verifying employment. If you need to list additional employers, click "Add Another Employer" below.
EMPLOYER #1
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Driving/Hauling Experience With This Employer
You can add only 25 employers!

May we contact current employer?          
Yes    No

Authorization

JOB DESCRIPTION

Title:  Commercial Driver, All Terminals                               
Position reports to: Driver Supervisor
Position Purpose:

This position is responsible for safely transporting various cargo under the direction of the Dispatch Team. All work is to be done in a safe, efficient manner. This person must demonstrate integrity, heritage, fairness, quality, and community service in the performance of one’s functions and responsibilities to ensure that the department goals are achieved.
 
Essential Functions:

  • Pick up and deliver loads in a timely and professional manner
  • Maintain a positive attitude and communication with customers
  • Maintain a neat and clean personal appearance
  • Supply driver supervisor with ample load/field information regarding load status, loaded and empty trailer count and harvest times as applicable
  • Maintain proficiency in load securement, & comply with all company PPE policies
  • Keep truck cleaned, fueled, and check fluids, belts, tires, etc. before leaving yard.  Check trailer tires, brakes, seals, tomato doors, etc. before leaving yard
  • Must always perform full Pre-Trip and post trip inspections
  • Properly document and turn in all paper work (freight bills, logs, fuel, and toll receipts, field tags, hourly pay forms, and any citations or inspections at the end of each shift daily
  • Must be available to work seven (7) days per week, any shift and up to maximum hours that hours of service guidelines allows
  • Must have & display a good sense of direction and the ability to read and understand a map
  • Attend safety meetings quarterly
  • Maintain regular, consistent, and timely attendance
  • Schedule all appointments, Paid Time Off (PTO) according to policy and in advance with driver supervisor. Seasonal drivers to schedule all appointments or requests for time off according to policy and in advance with  driver supervisor
  • Adhere to company policies, procedures and safety regulations.  Use all safety equipment necessary.  Report any unsafe acts or conditions
  • Ability to load and unload commodities as need arises
  • Other duties as assigned.

Performance Standards:

  • Customer service- Promotes customer service excellence. Effectively participates as part of the team, assisting where appropriate and requesting assistance when needed; Communicates professionally with customers, vendors and co-workers, using good written and verbal language skills
  • Dependability- Reports to work on time consistently; maintaining regular attendance as scheduled; performs duties within Hours of Service regulations and Company policy
  • Job demands- Adjusts well to job duties and adapts positively to change
  • Job Safety- Observes safety rules and procedures; attends quarterly safety meetings
  • Work execution- Achieves good results efficiently and consistently
  • Work relationships- Is courteous and cooperative

Position Specifications

Education:

  • High School diploma, GED or trade school equivalent
  • Must demonstrate English language skills at the level sufficient to understand and follow directions and to communicate with customers, law enforcement and others as needed to perform essential duties.

Technical Training:

  • Ability to develop and maintain good working relationships with all co-workers, customers and the general public
  • Must possess English language skills  proficiency sufficient to communicate professionally with customers, vendors, co-workers verbally and in writing as needed to effectively and safely perform the duties of the job
  • Must have a Class “A” CDL with doubles endorsement and additional endorsements as required to meet customer needs; maintain acceptable DMV print out
  • Must meet all DOT criteria to qualify as an Interstate Driver
  • Possess TWIC or be TWIC eligible
  • Must possess suitable transportation to maintain timely, consistent attendance.

Experience:

  • Prefer minimum two (2) year AG or Freight driving experience
  • Must be 22 years old or older.

Work Environment:

  • Outdoor environment with exposure to adverse weather conditions including heat, cold, wind, rain, dust and dirt
  • Exposure to high volume traffic including congestion and high speed traffic on roads and highways.

Physical / Mental  Abilities:

  • Professional attitude and appearance consistent with position and responsibilities
  • Self-motivated and detail oriented; work with minimum supervision
  • Must have a good sense of direction and ability to read and understand a map
  • Frequently lift up to 50 pounds
  • Must have ability to occasionally lift up to 100 lbs
  • Must use hands for repetitive simple grasping, pushing, pulling and fine manipulation
  • Must use feet for repetitive movement when operating equipment controls
  • Must have agility and balance to safely climb on all equipment
  • Must be able to occasionally bend, squat and climb, including ability to ascend and descend ladders and stairs
  • Must be free of any mental, nervous, organic, or functional disease or psychiatric disorder likely to interfere with ability to drive a commercial vehicle safely
  • Must have mental acuity sufficient to make sound decisions quickly in confusing and critical situations.

Read the above job description completely before clicking “sign” below. Your signature below indicates that you have received the job description, have had an opportunity to ask questions about it, that you understand the essential duties and expectations for the position, and that you are able to perform the essential duties of the positon with or without reasonable accommodation.
 

ANTONINI FREIGHT EXPRESS, INC.

DRIVER HIRE AND RETENTION GUIDELINES

  1. Must be a minimum of 22 years of age and qualified to haul interstate loads.
  2. Must have a Class “A” CDL with endorsements required by terminal.  
  3. Must complete an application for employment.  
  4. Must provide a DMV record of driving history that is not older than 30 days.
    1. No DUI and/or reckless driving violations with a violation date within the last 3 years.
    2. No open Failure to Appear on driving record.
    3. Any accidents within the last 3 years must be accompanied with a collision report as issued by the law enforcement department that wrote the report. 
      1. IF no report exist, must provide statement of fault and accident details from insurance company.
    4. Printout must show that medical long form is on file with the DMV.
    5. No more than 2 points according to the California DMV on your driving record for the past 12 months or no more than 3 points for the past 24 months.
  5. Must have taken and passed all required DOT drug/alcohol screens within the past 3 years.
  6. Must present valid medical card.
  7. Must successfully complete an interview and Company administered road test (new hires only).

Once employed, drivers must maintain an acceptable driving record that meets the following guidelines below:

  1. Must take and pass all required DOT drug/alcohol screens.
  2. No DUI and/or reckless driving violations, while working or not.
  3. Any Failure to Appear violations must be eliminated from their record prior to license suspension date.
  4. No more than 3 points according to the California DMV on your driving record for the past 12 months or no more than 4.5 points for the past 24 months.
  5. If a driver is involved in an accident in a vehicle outside of work, he/she must turn in a collision report issued by law enforcement.

 

Antonini Freight Express, Inc. is committed to hiring the best qualified candidates. Previous employees may be considered for re-hire, but there is no guarantee of employment based, solely or in part, on an applicant’s prior employment with any Antonini Company. This document replaces all earlier criteria, written or verbal. Management reserves the right to amend these guidelines at any time with or without notice.

If a driver falls outside the above guidelines while employed, he/she will be terminated from employment. Any accidents, moving violations and/or citations must be communicated to the Terminal Manager within 72 hours. These instances will be reviewed by management and may lead to disciplinary action up to and including termination.

I have read and understand that I must meet the above criteria to be considered for employment as a driver for Antonini Freight Express, Inc. and must remain within the above guidelines during any period of employment with the company. Additional guidelines and criteria may apply, including my ability to perform the essential duties of the job. I currently meet the driver hire guidelines listed above. I further understand that this is not an offer of employment. 


By clicking "Send" below,

I authorize Antonini Freight Express Inc., or Antonini Enterprises LLC for the sole purpose of transmitting information to Antonini companies, to make such investigations and inquiries of my personal, employment and /or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a confidential offer of employment has been extended.) I, hereby authorize employers, schools, health care providers and other persons to release information about names and dates of previous employers, reasons for termination of employment, work experience, work conduct and performance, accidents, academic history, professional credentials and other information. I further release previous and current employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application for employment.

I understand that false, incomplete or misleading information given in my application or interview(s) may result in me not being employed and that in the event of employment, may result in discharge. I also understand that if I am employed, and Antonini Freight Express, Inc. later discovers that I have provided false or misleading information with respect to any inquiry related to this application, that Antonini Freight Express, Inc. will terminate my employment.

I authorize the Company or its agent to obtain information in accordance with DOT Regulation 49 CFR Part 391.23 from my DOT regulated drug and alcohol testing records by carriers (company/school) listed in this application. I further understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR391.23 (d) and (e). I further understand that I have the right to:

  1. Review information provided by previous employers
  2. Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
  3. Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information. I understand that if I wish to review information about my DOT-regulated employment history provided by any previous employer(s) of the past three years, I must submit a written request to Antonini Freight Express, Inc. at any time between the time I apply for work until 30 days following my employment or notification that I have been denied employment. Antonini Freight Express, Inc. or its agent(s) will make this information available within 5 business days of receiving the request or within 5 business days of receiving the requested information from the prior employer, whichever is later. If I have not arranged to pick up or receive requested records within 30 days after Antonini Freight Express, Inc. has made them available, I will be considered to have waived my request.

I understand and agree that, In accordance with the provision of Section 604(b)(2)(A) of the Fair Credit Reporting Act, Public Law 91-508, as amended by the Consumer Credit Reporting Act of 1996 (title II, Subtitle D, Chapter I, of Public Law 104-208), that I have been informed that reports verifying my previous employment, previous drug and alcohol test results, and driving record are consumer reports which may be obtained for employment purposes and which may include information regarding my character, general reputation, mode of living, and personal characteristics. These reports are required by Sections 3382.413,391.23, and 391.25 of the Federal Motor Carrier Safety Regulations.

I agree to provide Antonini Freight Express, Inc. such additional information and complete such examinations as may be required to complete my employment file. I understand that if hired I will be required to abide by all Company rules and all local, federal and state laws and regulations. I also understand that I am required to abide by all rules and regulations of the Company.

I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. I understand that employment at Antonini Freight Express, Inc. is At-Will and, if hired, my employment may be terminated at any time, with or without cause and with or without notice by the employer. I also understand that if hired, I may terminate my employment at any time for any reason, with or without notice. The At-Will terms of my employment may not be revoked or revised by agreement with or by any employee or agent of the Company except the President of the Company. Such revocation, revision, or agreement must be in writing and signed by the President of the Company.

I affirm with my signature below that a) I have completed the application myself, b) that prior to submission, I have read all of the above statements and have had an opportunity to ask questions, c) that all statements made by me are true and accurate to the best of my knowledge, and d) that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that any false statements or material omissions may be grounds for refusal to hire, or for immediate dismissal if discovered after hire.



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This certifies that this application was completed by me and that all entries and the information herein are true and complete to the best of my knowledge.

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Date: 2024-04-18 03:02:33

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Once you complete your application and are ready to submit it, please click "Send". You will not be able to make any further edits once you click send.

Terms of Service

Privacy Policy

INQUIRY TO PAST EMPLOYER

From - Prospective Employer/Contractor To - previous employer

Dear Motor Carrier:
The person listed below has made application to this company for employment or contracting as a Driver and states that he/she was employed by you as   from   to   . If these dates are not correct please provide From     and To     The applicant has waived any claim of liability against you company for information submitted in response to the inquiry - See release form at bottom of this page

Name of Applicant:   

Social Security Number of Applicant:  
Date of Birth:  
1. Is the employment record with your company, including dates, correct as stated above?  
2. What kind of work did applicant do?  
3. If employed as a driver, Specify type of equipment  
4. If Tractor-Trailer please specify type:
5. Total Miles Driven 

6. Number of accidents      Number preventable  

7. Was applicant's drivers license ever suspended or revoked?  
8. Reason for leaving your employ :   
9. Was applicant's general conduct satisfactory?   
10. Is applicant competent for the position applicant is seeking?   
11. Would you re-employ?   
12. Any remarks with regard to questions 1 - 11 above?  
   
 

I hereby authorize you to release all information regarding my services, character and conduct while in your employ, and you are released from any and all liablility which may result from furnishing such information.

Previous Employer Inquiry For Driving History & Safety Performance

Previous Employer:
Name:   
Address:   
Phone:   
Email:   
Fax:   

Applicant
Applicant Name:      Social Security:     Date of Birth:  

Date of Employment: From:   To  

Prospective Employer/Contractor:
Antonini Freight Express, Inc.
- Stockton, Modesto, Madera, Yuba City California -


Confidential Email: safety@antoniniusa.com
Confidential Fax: 2094666710

Prospective Employer's/Contractor's Agent
  
  
  
  
Confidential Email:  
Confidential Fax:   

Section 1 (Applicant)
Applicant Authorization

I,    hereby authorize    to release and forward the information requested in sections2 and 3 of this document concerning my Accident History within the previous 3 years to    (Prospective Employer/Contractor), and/or   (third-party investigation firm).

Applicant's Signature:
Date:    

This information is being requested in compliance with 49 CFR $$ 40.25 and 391.23.

In compliance with 49 CFR $$40.25(g) and 391.23(h), release of this information must be made in a form that ensures confidentiality, such as fax, email, or letter.

Section 2 (Previous Employer)
ACCIDENT HISTORY

The applicant named above was employed by you.   

Employed as (Job Title)  
From Date (mm/yyyy)  
To Date (mm/yyyy)  
Did he/she drive motor vehicle for you?   

ACCIDENTS: Complete the following for any accidents included on your accident registrar ($390.15(b)) that involved the applicant in the 3 years prior to the application date shown above or check here if there is no accident register data for this driver.

Date Location Number of
Injuries		 Number of
Fatalities		 Hazmat
Spill		 Preventable Description
             
             
             

Please provide information concerning any other accidents involving the applicant that were reported to government agencies or insurers or retained under internal company policies:

Signature   
Title   
Date   

Completed By

Name:   
Company:   
Street:   
City, State, Zip:   
Phone:   
Date:   

PSP Consent

Applicant Authorization Consent For Release of Information

Applicant Authorization Consent For Release of Information Form

The release and authorization acknowledge that Antonini Freight Express, Inc. located at Stockton, Modesto, Madera, Yuba City may now, or at any time while I am employed, conduct a verification of my education, employment history, social security, credit history, motor vehicle records, contact my personal references, and receive any criminal history record information pertaining to me which may be in the files of any Federal, State, or Local criminal justice agency in any state, and/or other information as deemed necessary to fulfill the job requirements. Also, if an offer of employment has been made, I authorize review of my worker's compensation claims history.

I authorize located at to disclose orally and in writing the results of the verification process to the designated authorized representative of Antonini Freight Express, Inc.. The results will be used to determine employment eligibility under this company's employment policies.

I have read and understand this release and consent, and I authorize the background verifications. I authorize persons, schools, current and former employers, and other organizations and agencies to provide agents of my prospective employer with all information that may be requested, and I hereby release all of the persons and agencies providing such information from any and all claims and damages connected with their release of any requested information. I agree that any copy of this document is as valid as the original.

I do hereby agree to forever release and discharge Antonini Freight Express, Inc., , and their associates to the full extent permitted by-law from any claims, damages, losses, liability, costs, and expenses, or any other charge or complaint filed with any agency arising from the retrieving and reporting of information. According to the Federal Fair Credit Reporting Act, I am entitled to know if employment was denied as a result of information obtained by my prospective employer, and to receive, upon written request, a disclosure of the pubic record information and of the nature and scope of the investigative report.

Please provide the following information as well as addresses for the last seven (7) years.

 
 
 
 
 
 
 
 
 

Authorization to contact current employer?

  yes      No
 

Other Disclosure and Authorization

Disclosure and Authorization

Pre-Employment Controlled Substance Consent Form

Fair Credit Reporting Act Consumer Rights

Para información en español, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.

A SUMMARY OF YOUR RIGHTS

UNDER THE FAIR CREDIT REPORTING ACT

The Federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.

  • You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment - or to take another adverse action against you - must tell you, and must give you the name, address, and phone number of the agency that provided the information.
  • You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure"). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if:
    • a person has taken adverse action against you because of information in your credit report;
    • you are the victim of identity theft and place a fraud alert in your file;
    • your file contains inaccurate information as a result of fraud;
    • you are on public assistance;
    • you are unemployed but expect to apply for employment within 60 days.
    In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore for additional information.
  • You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender.
  • You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures.
  • Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information. Inaccurate, incomplete, or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate.
  • Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old.
  • Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need - usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access.
  • You must give your consent for reports to be provided to employers. . A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov/learnmore.
  • You may limit "prescreened" offers of credit and insurance you get based on information in your credit report. Unsolicited "prescreened" offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at 1-888-567-8688.
  • The following FCRA right applies with respect to nationwide consumer reporting agencies:
    CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE

    You have a right to place a “security freeze” on your credit report, which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit.
    As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer’s credit file. Upon seeing a fraud alert display on a consumer’s credit file, a business is required to take steps to verify the consumer’s identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting 7 years.
    A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements.
  • You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court.
  • Identity theft victims and active duty military personnel have additional rights. For more information, visit www.consumerfinance.gov/learnmore.

States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact:

TYPE OF BUSINESS: CONTACT:
1.a. Banks, savings associations, and credit unions with total assets of over $10 billion and their affiliates a. Consumer Financial Protection Bureau 1700 G Street, N.W. Washington, DC 20552
b. Such affiliates that are not banks, savings associations, or credit unions also should list, in addition to the CFPB: b. Federal Trade Commission Consumer Response Center 600 Pennsylvania Avenue, N.W. Washington, DC 20580
2. To the extent not included in item 1 above:
a. National banks, federal savings associations, and federal branches and federal agencies of foreign banks		 a. Office of the Comptroller of the Currency Customer Assistance Group 1301 McKinney Street, Suite 3450 Houston, TX 77010-9050
b. State member banks, branches and agencies of foreign banks (other than federal branches, federal agencies, and Insured State Branches of Foreign Banks), commercial lending companies owned or controlled by foreign banks, and organizations operating under section 25 or 25A of the Federal Reserve Act. b. Federal Reserve Consumer Help Center P.O. Box 1200 Minneapolis, MN 55480
c. Nonmember Insured Banks, Insured State Branches of Foreign Banks, and insured state savings associations c. FDIC Consumer Response Center 1100 Walnut Street, Box #11 Kansas City, MO 64106
d. Federal Credit Unions d. National Credit Union Administration Office of Consumer Financial Protection (OCFP) Division of Consumer Compliance Policy and Outreach 1775 Duke Street Alexandria, VA 22314
3. Air carriers Asst. General Counsel for Aviation Enforcement & Proceedings Aviation Consumer Protection Division Department of Transportation 1200 New Jersey Avenue, S.E. Washington, DC 20590
4. Creditors Subject to the Surface Transportation Board Office of Proceedings, Surface Transportation Board Department of Transportation 395 E Street, S.W. Washington, DC 20423
5. Creditors Subject to the Packers and Stockyards Act, 1921 Nearest Packers and Stockyards Administration area supervisor
6. Small Business Investment Companies Associate Deputy Administrator for Capital Access United States Small Business Administration 409 Third Street, S.W., Suite 8200 Washington, DC 20416
7. Brokers and Dealers Securities and Exchange Commission 100 F Street, N.E. Washington, DC 20549
8. Federal Land Banks, Federal Land Bank Associations, Federal Intermediate Credit Banks, and Production Credit Associations Farm Credit Administration 1501 Farm Credit Drive McLean, VA 22102-5090
9. Retailers, Finance Companies, and All Other Creditors Not Listed Above Federal Trade Commission Consumer Response Center 600 Pennsylvania Avenue, N.W. Washington, DC 20580 (877) 382-4357

I 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 agree to use an electronic signature to demonstrate my consent.

Drivers Rights Pertaining to Release of Information
under Regulation 391.23

Motor carriers have the responsibility to make the following investigations and inquiries with respect to each driver employed, other than a person who has been a regularly employed driver of the motor carrier for a continuous period which began before January 1, 1971.

  • (a)(1) An inquiry into the driver's driving record during the preceding three years to the appropriate agency of every State in which the driver held a motor vehicle operator's license or permit during those preceding three years.
  • (a)(2) An investigation of the driver's employment record during preceding three years.
  • (b) A copy of the driver record(s) obtained in response to the inquiry or inquiries to each State driver record agency as required must be placed in the Driver Qualification File within 30 days of the date the driver's employment begins and be retained in compliance with 391.51.
  • (c) Replies to the investigations of the driver's safety performance history must be placed in the Driver Investigation History File within 30 days of the date the driver's employment begins. This goes into effect after October 29, 2004.
  • (d) Prospective motor carrier must investigate the information from all previous employers of the applicant that employed the driver to operate a CMV within the previous three years. This information must cover general driver identification and employment verification information, data elements as specified in 390.15 for accident involving the driver that occurred in the three-year period preceding the date of the employment application, and accidents the previous employer may wish to provide.
  • (e) Prospective motor carriers must investigate the information from all previous DOT regulated employers that employed the driver within the previous three years from the date of the employment application in a safety-sensitive function that required alcohol and controlled substance testing specified by 49 CFR Part 40.

Drivers have the following rights:

  1. The right to review information provided by previous employers
  2. The right to have errors in the information corrected by the previous employer and for that employer to resend the corrected information to the prospective employer
  3. The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.

Drivers who wish to review previous employer-provided information must submit a written request to the prospective employer when applying of as late as 30 days after employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five business days of receiving the written request. If the driver has not arranged to pick up or receive the requested records within 30 days pf the prospective employer making them available, the prospective motor carrier may consider the driver to have waived his/her request to review the records.

Drivers wishing to request correction of erroneous information in records must send the request for the correction to the previous employer that provided the records. After October 29, 2004, the previous employer must either correct and forward the information to the prospective motor carrier employer or notify the driver within 15 days of receiving the driver's request to correct the data that it does not agree to correct the data. Drivers wishing to rebut information in records must send the rebuttal to the previous employer with instructions to include the rebuttal in the driver's Safety Performance History.

I acknowledge that I have read and understand the contents of this document.

Consent for Limited Queries of the FMCSA Drug and Alcohol Clearinghouse