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A) General Disclaimers: I understand that Western Star Transportation, LLC, a Minnesota Corporation (hereafter named "WST") is under no obligation to hire me, and that any employment or contract services I am offered will not be for any specified period of time and that my employment or contract can be terminated by WST at any time, with or without cause. I further understand that the only manner in which the "at-will" nature of my employment relationship with WST can be changed is by written agreement that is specifically intended to do so and which is signed by me and a duly authorized officer of the company. I hereby authorize WST, without liability, to provide to other motor carriers or prospective employers any information regarding pre-employment drug and alcohol testing or any other information from the pre-employment process.
B) Authorization to Release Work Records and Consumer Reports: I hereby authorize, without liability, any person or organization, including but not limited to previous employers, educational institutions, or any other institution whose name I have given as a reference, to furnish WST information relating to any accidents in which I was involved in addition to any information they may have concerning my character, habits, ability, financial responsibility, job performance, and reasons for leaving employment. I further authorize any law enforcement agency or court of record to furnish WST information concerning my Motor Vehicle Record, or any felony or misdemeanor of which I have been convicted. I hereby release all such persons and organizations from any claims for damages of any kind which may occur to me as a result of furnishing such information.
Furthermore, in connection with your employment or application for employment (including contract for services), an investigative consumer report and consumer reports, which may contain public record information, may be requested from USIS Commercial Services ("USIS"). These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, accidents, academic history, professional credentials, drugs/alcohol use, information relating to your character, general reputation, personal characteristics, mode of living, educational background, or any other information about you which may reflect upon your potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. Such reports may contain public record information concerning your driving record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc., from federal, state and other agencies which maintain such records; as well as information from USIS concerning previous driving record requests made by others from such state agencies.
You have the right to receive, upon your written request within a reasonable period of time, (not to exceed 30 days) a complete and accurate disclosure of the nature and scope of the investigation requested. You have the right to make a request to USIS, upon proper identification, to request the nature and substance of all information in its files on you at the time of your request, including the sources of information, and the recipients of any reports on you that USIS has previously furnished within the two-year period preceding your request. USIS may be contacted by mail at P.O. Box 33181, Tulsa, Oklahoma, 74153, or by phone at (800) 381-0645.
Notice to California Applicants
Under California law, the consumer reports we order on you for employment purposes within the State of California are defined as investigative consumer reports. These reports may contain information on your character, general reputation, personal characteristics and mode of living.
Under section 1786.22 of the California Civil Code, you may view the file maintained on you by USIS during normal business hours. You may also obtain a copy of this file upon submitting proper identification and paying the costs of duplication services, by appearing at USIS in person, by mail, or by telephone. The agency is required to have personnel available to explain your file to you and the agency must explain to you any coded information appearing in your file. If you appear in person, a person of your choice may accompany you, provided that this person furnishes proper identification.
If hired or contracted, this authorization shall remain on file and shall serve as ongoing authorization for WST to procure consumer reports at any time during my employment or contract period.
C) Notice of Drug and Alcohol Testing: WST requires all qualified applicants for employment to submit to a drug test as required by DOT regulations. I understand I will be required to provide urine, hair or other biological samples to be tested for the presence of controlled substances. If employed or contracted, I will be required to submit to drug and/or alcohol tests as required by WST alcohol and drug abuse policy and/or federal and state regulations.
D) Applicant Rights: I 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 paragraph (D) and (E) of 49 CFR Part 391.23. I understand that I have the right to review the information provided by previous employers, to have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to WST, and to 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.
By clicking the "Submit Application" button below, I certify 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. I understand and agree that any false, misleading or incomplete statement of the information requested in this application shall be sufficient grounds for denial of employment or if hired or contracted, discharge from employment.
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