•  Independent Contractor Driver Application

  • OWNER OPERATOR JOB DESCRIPTION FOR DRY VAN

     

    Qualifications

    • Possess and maintain a valid CDL - Class A.
    • Be at least 23 years of age.
    • Have a minimum of 2 years CDL driving experience.
    • Tractor and trailer must current inspections within 30 days. 
    • Have a working knowledge of FMCSR regulations and Hours of Service Regulations.
    • Have knowledge of ELD'S and operating a mobile app.
    • Have and maintain a current Medical Card.

     

    Documents

    • Current CDL Class A Driver's License
    • Social Security Card or Government issued EIN Number
    • W-9 Form
    • Current Medical Card
    • Current Insurance Identification Card (for tractor)
    • Current insurance Identification Card (for trailer)
    • Apportioned License Cab Card or Base Plate
    • Title Application Receipt (for tractor)
    • Title Application Receipt (for trailer)
    • Current Vehicle Inspection Report for tractor (within 30 days)
    • Current Vehicle Inspection Report for trailer (within 30 days)
    • Form 2290

     

    Duties

    • Be able to perform pre-trip and post-trip inspections on tractor-trailer combination vehicles.
    • Operate tractor-trailer in a safe manner pursuant to local, state and federal rules and regulations (including traffic laws and observe all warning signs).
    • Have hands-free headset for cell phones.
    • Maintain proper ELD logs (and do not violate any HOS regulations)
    • DO NOT DRIVE FATIGUE!!!
    • Keep a first aid kit in truck pursuant to FMCSR.
    • Turn in monthly maintenance reports of tractor-trailers.
    • Maintain proper PPE gear (masks, gloves, safety glasses, ear plugs, hard hat, steal toe boots and safety vest)
    • Make sure in and out times are documented on BOL/POD at shipper and receiver for detention pay.
    • Email BOL's/POD's, and all related documents, in PDF form, immediately after delivery. Put LOAD number in the subject line, This is how you get paid.

     

  • Pay

    Weekly Settlements every Friday. All loads delivered by Saturday at midnight will the following Friday.

     

    By signing this document I acknowledge that I've read and understood that my full compliance with the Job Description is a condition of my initial and continued employment with the Company.

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  •  CONFIDENTIAL

    PREVIOUS EMPLOYMENT REQUEST/CONSENT FORM 

    hr@forwardtruckingllc.com

  • I, *, hereby authorize you to release all records of employment, including assessments of any alcohol or drug tests) to FORWARD TRUCKING, LLC (or their authorized agents) which may request such information in connection with my application for employment with said company, I hereby release this company from any and all liability of any type as a result of providing the following information to the below mentioned person and/or company.
    NOTIFICATION OF DUE PROCESS RIGHTS - Please be advised the applicant has the right to review, request correction, or refute any information provided by previous employers. To do this, applicant must submit a written request at any time from the date of the application up to 30 days after beginning employment/lease or being denied employment lease. This information shall be provided within five (5) business days after receiving written request.

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  • *** REQUESTOR / PREVIOUS EMPLOYER USE ONLY ***

  • The named applicant above has applied to drive for or lease to Forward Trucking, LLC as a Company Driver or Owner Operator in a safety-sensitive position. Your company is listed by the applicant as a past employer. Please note the applicant's waiver above, all liability of you and your company has been released by the applicant. If we do not receive the requested material, we will advise the Department of Transportation in your area of your failure to comply with these regulations.

     

     FROM: John Forward   Title: Office Manager
     Company: Forward Trucking, LLC  Address: PO Box 62512, Houston, TX 77205
     Phone Number: (281)645-8590  Fax Number: (281)645-8590
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  • If employed as a driver please answer the following:

     

  • Additional comments: (Any problems with customer relations, Supervisors, or abuse of equipment):

  • DRUG/ALCOHOL TEST(S): (Previous two years)

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  • Hours of Service Record for First Time or Intermittent Drivers

  • Instructions: When using a driver for the first time, or intermittently, a signed statement must be obtained, giving the total time on duty (driving and on-duty not driving) during the immediate preceding seven days, and that time at which the driver was last relieved from the previous employer prior to beginning work.

  • I hereby certify that information contained herein is true and correct to the best of my knowledge and belief, and that the time I was last released from being on duty.

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  • Consent and Authorization to Request and Release Information

  • I understand and agree that I must have a negative controlled substance and/or alcohol screening prior to and during my employment. I may also be required to complete and pass a job-specific physical agility test and, if applicable medical certification testing if my current Medical Certification Card has expired, as part of a conditional job offer and employment. Such testing will be performed by an outside testing source. I further understand that if I refuse to take such test, I may be denied current or future employment. 

    I authorize and consent to Forward Trucking, LLC, to obtaining any and all documents and information regarding my previous employment from my present and past employers, or agents these employers may designate, regarding my employment, including, but not limited to, positions held, dates of employment, last pay rate, work performance, disciplinary records, reliability, incidents of dishonesty, insubordination, violence, criminal history, and/or unsafe, harmful or threatening behavior, including information based upon any and all materials in and out of my personnel files and records. I also authorized and consent to Forward Trucking, LLC, to obtain Safety Performance History and DOT Drug and Alcohol Test Results information in accordance with Part 40.23 and Section 391 23 (a)(2) and (e) of the Federal Motor Carrier Safety Regulations.

    I authorize and consent to Forward Truicking, LLC, to obtain documentation or information from any public agency or private entity concerning any professional or vocational license or certification that I have held in the past or currently hold, including, but not limited to, documentation or information concerning whether such license or certification is in good standing, and any disciplinary or other proceedings concerning such license or certification.

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  • Corporate Headquarters

    PO BOX 62512

    Houston, Tx 77205

  • INDEPENDENT CONTRACTOR APPLICATION

    (Please download and fill out form and email it to hr@forwardtruckingllc.com)
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  • CURRENT & PREVIOUS THREE YEARS ADDRESSES: (DOT requires 3 years of address history)

  • MILITARY EXPERIENCE

  • EMPLOYMENT HISTORY

  • The Federal Motor Carrier Regulations (49CR391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle [reviously, you must provide employment history for an additional seven (7) years for a total of ten (10) years. Any gaps in employment must be explained. (Use blank page if necessary).

    Start with the last or current position, (Use blank sheet if necessary.) You are required to list the complete mailing address: street number, city, state and zip code.

    Present or Last Employer

  • (Attach additional sheets for 10-years history, if needed.)

  • DRIVING EXPERIENCE

  • TO BE READ AND SIGNED BY APPLICANT

    I certify that I have read and understand all of this employment application. it is agreed and understood that the employer or his agents may investigate the applicant's background to ascertain any and all information of concern to applicant's record, whether same is of record or not, and applicant releases employers and other persons named herein from all liability for any damages on account of his furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job. 

    It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative Consumer Report, including information regarding my character, personal reputation, personal characteristics, and mode of living.

    I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

    I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.

    If hired, I agree to abide by all the rules and policies of the employer.

    This certifies that I completed this application and that all entries on it and information in it are true and complete to the best of my knowledge.

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  • ALCOHOL AND CONTROLLED SUBSTANCE STATEMENT

    The Federal Motor Carrier Safety Regulations 49CFR40.25(j) requires all persons with applying for a driving position requiring a commercial drivers license to answer the following questions:

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  • FOR COMPANY USE

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  • THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS

     IMPORTANT DISCLOSURE
    REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

    In connection with your application for employment with   FORWARD TRUCKING, LLC    ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

    When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before tacking any final adverse action. If any final adverse action is taken again based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. 

    When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

    Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

    Any crash or inspection in which you were involved will display on your PSP report. Since the PHP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly. all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. 

    The Prospective Employer cannot obtain background reports from FMCSA without your authorization. 

  • AUTHORIZATION

    If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

    I authorize FORWARD FORWARD TRUCKING, LLC ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

    I further understand that neither the Prospective Employer not the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data, I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. 

    I understand that andy crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report.

    I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

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  • NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant's written or electronic consent prior to accessing the Applicant's PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant's consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.

    NOTICE: The prospective employment concept referenced in this form contemplates the definition of "employee" contained at 49 C.F.R. 383.5.

    LAST UPDATED 2/11/2016

  • Request for Taxpayer
    Identification Number and Certification
    Go to www.irs.gov/FormW9 for instructions and the latest information.

  • Form w-9
    (Rev. October 2018)
    Department of the Treasury
    Internal Revenue Service

     

  • Give Form to the
    requester. Do not
    send to the IRS.

     

  • 4. Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

  • (Applies to accounts maintained outside the U.S.)

  •  Part l       Taxpayer Identification Number (TIN) 

  • Enter your in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity. see the instructions for Part |, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

    NOTE: If the account is in more than name, see the instructions for line1. Also, see What Name and Number To Give the Requester for guidelines on whose number to enter.

  •  Part ll        Certification

    Under penalties of perjury, I certify that:
    1. The number shown on thi8s form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
    2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
    3. I am a U.S. citizen or other U.S. person (defined below); and
    4. The FATCA code (s) entered on this form (if any) indication that I am exempt from FATCH reporting is correct.

  • Sign Here

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  • General Instructions

    Section references are to the Internal Revenue Code unless otherwise noted.
    Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/Formw9.

    Purpose of Form

    An individual or entity (Form W-9 requester) who is required to9 file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. 

    • Form 1099-INT (interest earned or paid)
    • Form 1099-DIV (dividends, including those from stocks or mutual funds)
    • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
    • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)
    • Form 1099-S (proceeds from real estate transactions)
    • Form 1099-K (merchant card and third party network transactions)
    • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)
    • Form 1099-C (canceled debt)
    • Form 1099-A (acquisition or abandonment of secured property)   

    Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

    If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.
     

  • By signing the filled-out form, you:

    1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),

    2. Certify that you are not subject to backup withholding, or 

    3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.s. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share or effectively connected income, and 

    4. Certify that FATCH code (s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See what is FATCA reporting, later, for further information.

    NOTE: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9.

    Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

    • An individual who is a U.S. resident alien;
    • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;
    • An estate (other than a foreign estate); or
    • A domestic trust (as defined in Regulations section 301.7701-7).

    Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners' share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S status and avoid section 1446 withholding on your share of partnership income.

    In the cases below, the following person must give Form W-p to the partnership for purposes of establishing its U.S. status and avoiding withholding on t=its allocable share of net income from the partnership conducting a trade or business in the United States.

    • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;
    • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and 
    • In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.

    Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9 instead, use the appropriate Form W-8or Form 8233 (see Pub. 515, withholding of Tax on Nonresident Aliens and Foreign Entities).

    Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a "saving clause." Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

    If you are a U.S resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items,

    1. The treaty country, Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.

    2. The treaty article addressing the income.

    3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions.

    4. The type and amount of income that qualifies for the exemption from tax.

    5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.

    Example. Article 20 if the U.s.-china income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United State. Under U.S. law, this student will become a resident alien for tax purposes if his or her say in the United States Eexceeeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 10 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student becomes a resident alien of the United States, A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

    If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 of Form 8233.

    Backup Withholding

    What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called "backup withholding." Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions rents, royalties, nonemployee pay, payments made in settlement of payment card, and third-party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

    You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

    Payments you receive will be subject to backup withholding if: 

    1. You do not furnish your TIN to the requester,

    2. You do not certify your TIN when required (see the instructions for Part )

    3. The IRS tells you that you furnished an incorrect TIN,

    4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return  (for reportable interest and dividends only). or

    5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).

    Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. Also see special rules for partnerships. earlier.

    What is FATCH Reporting?

    The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting cod, late, and the Instructions for the Requester of Form W-9 for more information.

    Updating Your Information

    You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation taha elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies.

    Penalties

    Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

    Civil penalty for false information with respect to withholding, If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.

    Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations or affirmations may subject you to criminal penalties including fines and/or imprisonment.

    Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

    Specific Instructions

    Line 1

    You must enter one of the following on this line; Do not leave this line blank. The name should match the name on your tax return.

    If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI), list first, and then circle. the name of the person or entity whose number you entered in Part l of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.

    a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new name.

    Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application.

    b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or "doing business as" (DBA) name on line 2.

    c. Partnership, LLC that is not a single-member LLC, C corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2.

    d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on charter or other legal documents creating the entity. You may enter any business, trade, or DBA name on line 2.

    e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a "disregarded entity." See Regulations section 301.7701-2(c(2)(iii). Enter the owner's name on line  1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should never be a disregarded entity. The name on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, "Business name/disregarded entity name." If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.

    Line 2

    If you have a business name, trade name, DBA name, or disregarded entity name,  you may enter it on line 2.

    Line 3

    Check the appropriate box on line 3 for the U.S federal tax classification of the person whose name is entered on line 1. Check only one box on line 3.

  • If the entity/person on line 1 is a(n)... THEN check the box for...
    • Corporation
    Corporation
    • Individual
    • Sole proprietorship, or
    • Single-member limited liability company (LLC) owned by an individual and disregarded for U.S.federal tax purposes.
    Individual/sole proprietor or single-member LLC
    • LLC treated as a partnership for U.S. federal tax purposes,

    • LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or

    • LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes.
    Limited liability company and enter the appropriate tax classification;(P= Partnership: C= C corporation; or S= S corporation)
    • Partnership
    Partnership
    • Trust/estate
    Trust/estate
  • Live 4. Examples

    If you are exempt from backup withholding and /or FATCH reporting, enter in the appropriate space on line 4 any code(s) that may apply to you

    Exempt payee code.

    • Generally, individuals (including sole proprietors) are not exempt from backup withholding.
    • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.
    • Corporations are not exempt from backup withholding for payments made in the settlement of payment card or third-party network transactions.
    • Corporations are not exempt from backup withholding with respect to attorneys, fees, or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.

    The following codes identify payees that are exempt from backup withholding, Enter the appropriate code in the space in line 4.

    1- An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403 (b)(7)if the account satisfies the requirements of section 401(f)(2)

    2- The United States or any of its agencies or instrumentalities

    3- A state, the District Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

    4- A foreign government or any of its political subdivisions, agencies, or instrumentalities

    5- A Corporation

    6- A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession

    7- A futures commission merchant registered with the Commodity Futures Trading Commission

    8- A real estate investment trust 

    9- An entity registered at all times during the tax year under the Investment Company Act of 1940

    10- A common trust fund operated by a bank under section 584 (a)

    11- A financial institution 

    12- A middleman is known in the investment community as a nominee or custodian

    13- A trust exempt from tax under section 664 or described in section 4947

  • The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.

    If the payment is for... THEN the payment is exempt for...
    Interest and dividend payments  All exempt payees except for 7
    Broker transactions  Exempt payees 1 through 4 and 6 through 11 and all C corporations.S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.
    Barter exchange transactions and patronage dividends Exempt payees 1 through 4
    Payments over $600 are required to be reported and direct sales over $5,0001 Generally, exempt payees 1 through 51
     Payments made in settlement of payment card or third party network transaction 

     Exempt payees 1 through 4

  • 1See Form 1099-MISC, Miscellaneous Income, and its instructions.

    2However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys; fees, gross proceeds paid to an attorney reportable under section 6065(f), and payments for services paid by a federal executive agency.

    Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA, these codes of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9with "Not Applicable" (or any similar indication) written or prind=ted on the line for a FATCA exemption code.

    A-An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)

    B-The United States or any of its agencies or  instrumentalities 

    C-A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities 

    D-A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)

    E-A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i)

    F-A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state

    G-A real estate investment trust 

    H-A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940

    I-A common trust fund as defined in section 584(a)

    J-A bank as defined in section 581

    K-A broker

    L-A trust exempt from tax under section 664 or described in section 4947 (a)(1)

    M-A tax-exempt trust under a section 403 (b) plan or section 457(g) plan

    Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.

    Line 5

    Enter your address (number, street, and apartment or suite number). This is where the requester of this Form w-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.

    Line 6

    Enter your city, state, and ZIP code.

    Part l. Taxpayer Identification Number (TIN)

    Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.

    If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN.

    If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner's SSN (or EIN, if the owner has one). Do not enter the disregarded entity's EIN. If the LLC is classified as a corporation or partnership. enter the entity's EIN.

    Note: See what Name and Number To Give the Requester, later, for further clarification of name and TIN combinations.

    How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office, or get this form online at www.SSA.gob. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days.

    If you are asked to complete Form w-9 but do not have a TIN, apply for a TIN and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally, you will have 60 days to get a TIN, and give it to the requester before you are subject to backup withholding on payments, The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.

    Note: Entering "Applied For" means that you have already applied for a TIN or that you intend to apply rot one soon.

    Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.

    Part ll. Certification

    To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise.

    For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.

    Signature requirements. Complete the certification as indicated in items 1 through 5 below.

    1. Interest, dividend, and barter exchange accounts opened before 1984, and broker accounts were considered active during 1983. You must give your correct TIN, but you do not have to sign the certification.

    2. Interest, dividend, broker, and barter exchange accounts opened after 1983, and broker accounts were considered inactive during 1983. you must sign the certification unless you have been notified that you have previously given an incorrect TIN. to the requester, you must cross out item 2 in the certification before signing the form.

    3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.

    4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made in the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third-party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).

    5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

  • What Name and Number To Give the Requester

    For this type of account:  Give name and SSN of:

    1. Individual 

    2. Two or more individuals (joint account maintained by an FFI)

    3. Two or more U.S persons (joint account maintained by an FFI)

    4. Custodial account of a minor (Uniform Gift to Minors Act)

    5. a. The usual revocable savings trust (grantor is also trustee)
    b. So-called trust account that is not a legal or valid trust under state law 

    6. Sole proprietorship or disregarded entity owned by an individual

    7. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))

     

     The individual

    The actual owner of the account or, if combined funds, the first individual on 

    the account1

    Each holder of the account

    The minor2

    The grantor-trustee1

    The actual owner1

    The owner3

    The grantor*

     For this type of account:   Give name and EIN of:

     8. Disregarded entity not owned by an individual 

     9. A valid trust, estate, or pension trust 

    10. Corporation or LLC electing corporate status on Form 8832 or Form 2553

    11. Association, club. religious, charitable, education, or other tax-exempt organization

    12. Partnership or multi-member LLC 

    13. A broker or registered nominee

     The owner

    Legal entity4

    The corporation 

    The organization

    The partnership

    The broker or nominee

     For this type of account :   Give name and EIN of:

     14. Account with Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments

    15. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B))

    The public entity

    The trust

  • 1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person's number must be furnished.

    2 Circle the minor's name and furnish the minor's SSN.

    3 You must show your individual name and you may also enter your business or DBA name on the "Business name/disregarded entity"name line. YOu may use either your SSN or DIN (if you have one), but the IRS encourages you to use your SSN.

    4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier.

    *Note: The grantor also must provide a Form W-9 to trustee of trust. 

    Note: IF no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.

    Secure Your Tax Records Form Identity Theft 

    Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.

               To reduce your risk:

    • Protect your SSN,
    • Ensure your employer is protecting your SSN, and 
    • Be careful when choosing a tax preparer. 

    If your tax records are affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.

    For more information, see Put. 5027. Identity Theft Information for Taxpayers.

    Victims of identity theft who are experiencing economic harm or systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 12-=8000-829-4059.

    Protect yourself from suspicious emails or phishing schemes. 

    Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. The IRS does not initiate contacts with taxpayers via emails. Also, The IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret assess information for their credit card, bank, or other financial accounts.

    If you receive an unsolicited email claiming to be from the IRS, forward the message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at Spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.identityTheft.gov and Pub. 5027.

    Visit www.irs.gov/identityTheft to learn more about identity theft and how to reduce your risk.

    Privacy Act Notice 

    Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws. or to federal law enforcement and intelligence agencies to combat terrorism. You must provide yourTIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.

  • Drug and Alcohol Policy

    Effective as of 01/10/2019
  • Adopted by: John Forward

  • Date Adopted: 01/01/2019

  • FTA Drug and Alcohol Policy - FORWARD TRUCKING, LLC

    Last Revised: 01/01/2019

  • Table of Contents 

    1. Purpose of Policy ...................................................3
    2. Covered Employees ...............................................3
    3. Prohibited Behavior ...............................................4
    4. Consequences for Violations ................................4
    5. Circumstances for Testing ....................................5
    6. Testing Procedures ................................................7
    7. Test Refusals ..........................................................8
    8. Voluntary Self-Referral ..........................................9
    9. Prescription Drug Use ...........................................9
    10. Contact Person ......................................................9

       Attachment A: Covered Positions ...............................10

     

     

     

    1. Purpose of Policy

    This policy complies with 49 CFR Part 655, as amended and 49 CFR Part 40, as amended. Copies of Parts 655 and 40 are available in the drug and alcohol program manager's office and can be found on the internet at the Federal Transit Administration (FTA) Drug and Alcohol Program website https://transit-safety.fta.dot.gov/DrugAndAlcohol/. 

    All covered employees are required to submit to drug and alcohol tests as a condition of employment in accordance with 49 CFR Part 655.

    Portions of this policy are not FTA-mandated but reflect FORWARD TRUCKING, LLC's policy. These additional provisions are identified by bold text.

    In addition, DOT has published 49 CFR Part 32, implementing the Drug-Free Workplace Act of 1988, which requires the establishment of drug-free workplace policies and the reporting of certain drug-related offenses to the FTA.

    The unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance is prohibited in the covered workplace An employee who is convicted of any criminal drug statute for a violation occurring in the workplace shall notify [Management] no later than five days after such conviction.

    2. Covered Employees

    This policy applies to every person, including an applicant or transferee, who performs or will perform a"safety-sensitive function" as defined in Part 655, section 655.4. 

    You are a covered employee if you perform any of the following:

    • Operating a revenue service vehicle, in or out of revenue service
    • Operating a non-revenue vehicle requiring a commercial driver's license
    • Controlling movement or dispatch of a revenue service vehicle 
    • Maintaining (including repairs, overhaul, and rebuilding) of a revenue service vehicle or equipment used in revenue service
    • Carrying a firearm for security purposes

    See Attachment A for a list of covered positions by job title.

    3. Prohibited Behavior 

    Use of illegal drugs is prohibited at all times. All covered employees are prohibited from reporting for duty or remaining on duty any time there is a quantifiable presence of a prohibited drug in the body above the minimum thresholds defined in Part 40. Prohibited drugs include:

    • marijuana 
    • cocaine 
    • phencyclidine(PCP)
    • opioids 
    • amphetamines

    All covered employees are prohibited from performing or continuing to perform safety-sensitive functions while having an alcohol concentration of 0.04 or greater.

    All covered employees are prohibited from consuming alcohol while performing safety-sensitive job functions or while on-call to perform safety-sensitive job functions. If an on-call employee has consumed alcohol, they must acknowledge the use of alcohol at the time that they are called to report for duty. If the on-call employee claims the ability to perform his or her safety-sensitive function, he or she must take an alcohol test with a result of less than 0.02 prior to performance.

    All covered employees are prohibited from consuming alcohol within four (4) hours prior to the performance of safety-sensitive job functions.

    All covered employees are prohibited from consuming alcohol for eight (8)hours following involvement in an accident or until he or she submits to the post-accident drug and alcohol test,k whichever occurs first.

     

    4. Consequences for Violations

    Following a positive drug or alcohol (BAC at or above 0.04) test result or test refusal, the employee will be immediately removed from safety-sensitive duty and referred to a Substance Abuse Professional.

    Following a BAC of 0.02 or greater, but less than .0.04, the employee will be immediately removed from safety-sensitive duties for at least eight hours unless retest results in the employee's alcohol concentration being less than 0.02.

    Zero Tolerance

    Per FORWARD TRUCKING, LLC policy, any employee who tests positive for drugs or alcohol (BAC at or above 0.04) or refuses to test will be referred to a Substance Abuse Professional (SAP) and terminated from employment. 

     5. Circumstances for Testing 

    Pre-Employment Testing

    Pre-employment alcohol tests are conducted after making a contingent offer of employment or transfer. All pre-employment alcohol tests will be conducted using the procedures set forth in 49 CFR Part 40. An alcohol test result of less than 0.02 is required before an employee can first perform safety-sensitive functions, If a pre-employment alcohol test is canceled, the individual will be required to undergo another test with a result of less than 0.02.before performing safety-sensitive functions.

    A negative pre-employment drug test result is required before an employee can first perform safety-sensitive functions. If a pre-employment test is canceled, the individual will be required to undergo another test and successfully pass with a verified negative result before performing safety-sensitive functions.

    If a covered employee has not performed a safety-sensitive function for 90 or more consecutive calendar days and has not been in the random testing pool during that time, the employee must take and pass a pre-employment test before he or she can return to a safety-sensitive function.

    A covered employee or applicant who has previously failed or refused a DOT pre-employment drug and/or alcohol test provides proof of having successfully completed a referral, evaluation, and treatment plan meeting DOT requirements.

     

    Reasonable Suspicion Testing

    All covered employees shall be subject to a drug and/or alcohol test when FORWARD TRUCKING, LLC has reasonable suspicion to believe that the covered employee has used a prohibited drug and/or engaged in alcohol misuse, A reasonable suspicion referral for testing will be made by a trained supervisor or other trained company official on the basis of specific, contemporaneous, articulable observations concerning the appearance, behavior, speech, or body odors of the covered employee.

    Covered employees may be subject to reasonable suspicion drug testing at any time while on duty. Covered employees may be subject to reasonable suspicion alcohol testing while the employee is performing safety-sensitive functions, just before the employee is to perform safety-sensitive functions, or just after the employee has ceased performing such functions.

     

    Post-Accident Testing

    Covered employees shall be subject to post-accident drug and alcohol testing under the following circumstances:

    Fatal Accidents 

    As soon as practicable following an accident involving the loss of a human life, drug and alcohol tests will be conducted on each surviving covered employee operating the public transportation vehicle at the time of the accident. In addition, any other covered employee whose performance could have contributed to the accident, as determined by FORWARD TRUCKING, LLC using the best information available at the time of the decision, will be tested.

    Non-fatal Accidents  

    As soon as practicable following an accident not involving the loss of a human life, drug and alcohol tests will be conducted on each covered employee operating the public transportation vehicle at the time of the accident if at least one of the following conditions is met:

    (1) The accident results in injuries requiring immediate medical treatment away from the scene, unless the covered employee can be completely discounted as a contributing factor to the accident

    (2) One or more vehicles incurs disabling damage and must be towed away from the scene, unless the covered employee can be completely discounted as a contributing factor to the accident

    In addition, any other covered employee whose performance could have contributed to the accident, as determined by FORWARD TRUCKING, LLC using the best information available at the time of the decision, will be tested.

     

    A covered employee subject to post-accident testing must remain readily available, or it is considered a refusal to test. Nothing in this section shall be construed to require the delay of necessary medical attention for the injured following an accident or to prohibit a covered employee from leaving the scene of an accident for the period necessary to obtain assistance in responding to the accident or to obtain necessary emergency medical care.

     

    Random Testing

    Random drug and alcohol tests are unannounced and unpredictable, and the dates for administering random tests are spread reasonably throughout the calendar year. Random testing will be conducted at all times of the day when safety-sensitive functions are performed.

    Testing rates will meet or exceed the minimum annual percentage rate set each year by the FTA administrator. The current year testing rates can be viewed online at www.transportation.gov/odepc/random-testing-rates.

    The selection of employees for random drug and alcohol testing will be made by a scientifically valid method, such as a random drug and alcohol testing will be made by a scientifically valid method, such as a random number table or a computer-based random number generator. Under the selection process used, each covered employee will have an equal chance of being tested each time selections are made.

    A covered employee may only be randomly tested for alcohol misuse while the employee is performing safety-sensitive functions, just before the employee is to perform safety-sensitive functions, or just after the employee has ceased performing such functions. A covered employee may be randomly tested for prohibited drug use anytime while on duty.

    Each covered employee who is notified of selection for random drug or random alcohol testing must immediately proceed to the designated testing site.

     

    Random Testing - End of Shift

    Random testing may occur anytime an employee is on duty so long as the employee is notified prior to the end of the shift. Employees who provide advance, verifiable notice of scheduled medical or child care commitments will be random drug tested no later than three hours before the end of their shift and random alcohol tested no later than 30 minutes before the end of their shift. Verifiable documentation of a previously scheduled medical or child care commitment, for the period immediately following an employee's shift, must be provided at least 8 hours before the end of the shift.

     

    6. Testing procedures 

    All FTA and alcohol testing will be conducted in accordance with 49 CFR Part 40, as amended.

    Dilute Urine Specimen 

    If there is a negative dilute test result, FORWARD TRUCKING, LLC will accept the test result and there will be no retest, unless the creatinine concentration of a negative dilute specimen was greater than or equal to 2 mg/dL, but less than or equal to 5 mg/dL.

    Dilute negative results with a creatinine level greater than or equal to 2 mg/dL but less than or equal to 5 mg/dL require an immediate recollection under direct observation (see 49 CFR Part 40, section 40.67).

     

    Split Specimen Test

    In the event of a verified positive test result, or a verified adulterated or substituted result, the employee can request that the split specimen be tested at a second laboratory. FORWARD TRUCKING, LLC guarantees that the split specimen test will be conducted in a timely fashion.

     

    7. Test Refusals 

    As a covered employee, you have refused to test if you:

    (1) Fail to any test (except a pre-employment test) within a reasonable time, as determined by FORWARD TRUCKING, LLC.

    (1) Fail to remain at the testing site until the testing process is complete. An employee who leaves the testing site before the testing process commences for a pre-employment test has not refused to test. 

    (3) Fail to attempt to provide a breath or urine specimen. An employee who does not provide a urine or breath specimen because he or she has left the testing site before the testing process commenced for a pre-employment test has not refused to test.

    (4) In the case of a directly observed or monitored urine drug collection, fail to permit monitoring or observation of your provision of a specimen.

    (5) Fair to provide a sufficient quantity of urine or breath without a valid medical explanation.

    (6) Fail or decline to take a second test as directed by the collector or FORWARD TRUCKING, LLC for drug testing.

    (7) Fail to undergo a medical evaluation as required by the MRO or FORWARD TRUCKING, LLC's Designated Employer Representative (DER).

    (8) Fail to cooperate with any part of the testing process.

    (9) Fail to follow an observer's instructions to raise and lower clothing and turn around during a directly-observed test.

    (10) Possess or wear a prosthetic or other device used to tamper with the collection process.

    (11) Admit to the adulteration or substitution of a specimen to the collector or MRO.

    (12) Refuse to sign the certification at Step 2 of the Alcohol Testing Form (ATF)

    (13) Fail to remain readily available following an accident.

     

    As a covered employee, if the MRO reports that you have a verified adulterated or substituted test result, you have refused to take a drug test.

    As a covered employee, if you refuse to take a drug and/or alcohol test, you incur the same consequences as testing positive and will be immediately removed from performing safety-sensitive functions, and referred to a SAP.

     

    8. Voluntary Self-Referral

    Any employee who has a drug and/or alcohol abuse problem and has not been selected for reasonable suspicion, random or post-accident testing or has not refused a drug or alcohol test may voluntarily refer her or himself to the [Management], who will refer the individual to a substance abuse counselor for evaluation and treatment.

    The substance abuse counselor will evaluate the employee and make a specific recommendation regarding the appropriate treatment. Employees are encouraged to voluntarily seek professional substance abuse assistance before any substance use or dependence affects job performance.

     Any safety-sensitive employee who admits to a drug and/or alcohol problem will immediately be removed from his/her safety-sensitive function and will not be allowed to perform such function until successful completion of a prescribed rehabilitation program.

     

    9. Prescription Drug Use 

    The appropriate use of legally prescribed drugs and non-prescription medications is not prohibited. However, the use of any substance which carries a warning label that indicates that mental functioning, motor skills, or judgment may be adversely affected must be reported to [Management]. Medical advice should be sought, as appropriate, while taking such medication and before performing safety-sensitive duties.

     

    10. Contact Person

    For questions about FORWARD TRUCKING, LLC's anti-drug and alcohol misuse program, contact

     

    Mary Rylander
    Forward Trucking
    PO Box 62512
    Houston, TX 77205
    (281784-2694)

  • Attachment A: Covered Positions

     

     

    1. Company Driver
    2. Contractor drivers (Owner Operators Fleet Owner-drivers)
    3. Dispatchers 
    4. Safety Managers
    5. Diesel Mechanics 

     

    ATTACHMENT B: Acknowledgement/Receipt Form

     

    I acknowledge, by signing this form, that my full compliance with the Drug and Alcohol Policy (the "Policy") and DOT drug and alcohol regulation requirements is a condition of my initial and continued employment with the company. I understand and agree that I may be discharged or otherwise disciplined for any drug and/or alcohol violation, committed by me, as cited in the Policy and/or in the DOT drug and alcohol regulatory requirements.

    I also acknowledge, by signing this form, that a copy of the Policy has been made available to me and that I have read and understand the requirements of the Company and DOT drug and alcohol program. I have also been provided with informational material on the dangers and problems of drug abuse and alcohol misuse.

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