, hereby provide consent to G&H Motor Freight Lines to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse to determine whetherinformation of adrug and alcohol violationabout meexists in the Clearinghouse. This consent is givenfor the duration of my employment, so that G&H Motor Freight Lines may remain incompliance withFederal Regulations, thatI understand require the Clearinghouse to be checked yearly.
I understand that if the limited queryconducted by G&H Motor Freight Lines indicates that information of adrug or alcohol violationabout me exists in theClearinghouse, FMCSA will not disclose that information to G&H MotorFreight Lineswithout first obtaining additional specific consent from me.
I further understand thatif I refuse to provide consentfor G&H Motor Freight Lines to conduct a limited query of the Clearinghouse, G&H Motor Freight Linesmust prohibit me from performing safety-sensitive functions, including driving a commercial motorvehicle, as required by FMCSA’s drug and alcohol program regulations.