This certifies that this application was completed by me and that all entries and information on it are true and complete to the best of my knowledge.
I authorize you SST trucking to make such investigations and inquiry of my personal, employment, or medial history and other matters as may be necessary in arriving at an employment decision. I also authorize the carriers listed above to release information about names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history professional credentials and other information. I hereby release previous employers school healthcare providers and other persons from liability in responding to inquiries and releasing information in connection with my application.
In accordance with DOT regulation for 49CFR Part 391.23, I authorize the release of information from my DOT regulated drug and alcohol records by the carriers listed above to SST trucking for the sole purpose of transmitting such records to SST trucking. I authorize release of the following information concerning DOT drug and alcohol testing violations including pre-employment tests during the past three years: (I) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusal to be tested (including verified adulterated or substituted results); (vi) other violations of DOT drug and test regulations; (v) information obtained from pervious employers of a drug and alcohol rule violation (vi) documents, if any, of complete of a return-to-duty process following a rule violation.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required by all rules and regulations of the company.