Apply Now :: Signature Step


You are hereby authorized to give K&B Transportation, Inc. all information regarding my character, work habits, dates of employment, traffic offenses, credit, experience, and safety record. You are also authorized to release the results of all drug and alcohol tests in accordance with sections 382.413, 382.405, 391.89 and 391.23 of the Federal Motor Carrier Safety Regulations. You and K&B Transportation, Inc. are hereby released from any liability which may result from giving such information in order to enable K&B Transportation, Inc. to comply with the requirements of 382.413 and 391.23 of the FMCSR. I specifically authorize you to release information on any/all alcohol tests with a concentration of 0.04 or greater, positive controlled substance tests, and/or refusals to be tested within three (3) years preceding the date of this request. I also authorize K&B Transportation to obtain my safety performance history through FMCSA’s Commercial Driver Pre-Employment Screening Program. I fully understand and acknowledge that should be cleared for orientation, if I have misrepresented any information or fail any of the required examinations as a part of the qualifications process; I may be dismissed from orientation and sent home at my own expense. I authorize you to release any and all information pertaining to my evaluation by a substance abuse professional (SAP), the identity of that SAP, and my participation in any/all treatment or rehabilitation recommended by the SAP, I hereby authorize and direct my current and/or prior employers/lessors to release such information to K&B Transportation, in personal interviews, telephone interviews, letter, or any other method that ensures confidentiality. I hereby authorize K&B Transportation to release such information to any of its personnel whose duties require them to assess this application and/or to make recommendations or decisions with respect to it. Under section 391.23(g) (1) you must reply with such information as soon as possible or no later than 30 days from the date of this request. This authorization will be attached to the questions asked of my present/past employers, a copy of what is requested can be sent to me on my request. Fax replies to 402-494-1760.


  1. In connection with your application for employment with K&B Transportation, Inc (“Prospective Employer”), it 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 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. 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 must provide you within three business days of taking adverse action oral, written, or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you with 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, the, with 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 Reporting Act.

    The Prospective Employer cannot obtain background reports from the FMCSA unless you consent in writing.

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

  2. I authorize K&B Transportation, 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 understand that I am consenting to 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.

  3. I further understand that 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. I understand I may challenge the accuracy of the data by submitting a request to If I am challenging 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.

  4. Please note: 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. State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

I have read the above Notice regarding the background reports provided to my be Prospective Employer and I understand that if I sign this consent form, 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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