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In conjunction with my employment, or volunteer work at/with P & S Paving, Inc. (“the company”), I
consent to the release of my Motor Vehicle Record (MVR) to the company. I understand the company will use these records to evaluate my suitability to fulfill driving duties that may be related to the position for which I am applying. I also consent to the review, evaluation, and other use of any MVR I may have provided to the company. This consent is given in satisfaction of Public law 18 USC 2721 er. Seq.. “Federal Drivers Privacy Protection Act,” and is intended to constitute “written consent” as required by this Act.
hereby provide consent to P & S Paving, Inc. to conduct a limited query of the FMCSA Commercial Driver’s License Drug & Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse. This consent extends to pre-employment and annual review of the Clearinghouse.
I understand that if the limited query conducted by P & S Paving, Inc. indicates that drug or alcohol violation information about me in the Clearinghouse, FMCSA will not disclose the information to P & S Paving, Inc. without first obtaining specific consent from me.
I further understand that if I refuse to provide consent for P & S Paving, Inc. to conduct a limited query of the Clearinghouse, P & S Paving, Inc. must prohibit me from preforming safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations.
