*THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGEIS 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 RAPID RESPONSE, INC. (AProspective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspecfion history from the Federal Motor Carrier Safety Administration (FMCSA).
When the application for employment is submitted in person, if the Prospective Employer uses any informaüon 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 any final adverse action. If any final adverse action is against you based upon your driving histoo.' 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 obtins from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse actiön oral, written or electronic notification: that adverse action has been based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit ReportingAct.
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 https://dataqs.fmcsa.dotgov. If you challenge crash or inspection informafion reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State foradjudication.
Any crash or inspection in which you were involved will display. on your PSP report. Since the PSP 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. 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 Prospectve Employer cannot obtain background reports from FMCSA without your authorizaüon.
AUTHORIZATION
If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:
I authorize RAPID RESPONSE, INC. ("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 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 under±nd and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.
futüer understand that neitter 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. I understand I may challenge the accuracy of the data by submitting a request to https://d&qs.fmcsa.dotgov. If I challenge crash or Inspection informafion reported by a SEte, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate for adjudication.
I understand that any 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 FMCSAJ regardless of fault. Similarly, I understand all inspecüons, 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 have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understnd 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.