Drug and Alcohol Consortium Application

Drug and Alcohol Consortium Application
Driver's Name

First NameLast Name
Driver's Contact Number

Area CodePhone Number
Driver's Drivers License*

Browse Files

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Company Name:*
USDOT number:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:*

Area CodePhone Number
Email:*
example@example.com
Clearinghouse Username
Clearinghouse Password
How did you hear about us?*

OnlineTruck PaperOtherReferral
Please make your drivers aware that The Financial Integrity Group will be reaching out to them to set up their clearinghouse account.
We accept cash, check, cashier's check, money order, VISA, MasterCard, American Express, DiscoverCard (If you are paying with a debit/credit card there is a 4% convenience fee), T-check, Com-check, EFS transcheck, Fleet one check and TCH check. There will be a $25.00 charge for any returned funds.
The Financial Integrity Group

410 East Taylor Street Suite G Griffin, GA 30223

authorities@tfig.org Fax: 770-228-4242
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