General Consent for Limited Queries of the FMCSA

LML Trucking, Inc.
General Consent for Limited Queries
of the Federal Motor Carrier Safety Administration (FMCSA)
Drug and Alcohol Clearinghouse

I,
hereby provide consent to LML Trucking, Inc. to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I consent to conducting limited queries for the duration of my employment.
I understand that if the limited query conducted by LML Trucking, Inc. indicated that drug or alcohol violation information about me exists in the clearinghouse, FMCSA will not disclose that information to LML Trucking, Inc. without first obtaining additional specific consent from me. I further understand that if I refuse to provide consent for LML Trucking, Inc. to conduct a limited query of the Clearinghouse, LML Trucking, Inc. must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations
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MSI Pre-Drug Consent Form

PRE-HIRE DRUG TEST CONSENT

I hereby consent to submit to urinalysis and/or other tests as shall be determined by MORRISTOWN SHREDDER, INC. in the selection process of applicants for employment, for the purpose of determining the drug content thereof. I agree that: THE REHAB GROUP OF MORRISTOWN may collect these specimens for these tests and may test them or forward them to a testing laboratory designated by the company for analysis.

I further agree to and hereby authorize the release of the results of said tests to the company.

I understand that it is the current illegal use of drugs and/or abuse of alcohol that prohibits me from being employed at this Company.

I further agree to hold harmless the Company and its agents (including the above named physician or clinic) from any liability arising in whole or part out of the collection of specimens, testing, and use of the information from said testing in connection with the Company’s consideration of my employment application.

I further agree that a reproduced copy of this pre-employment consent and release form shall have the same force and effect as the original.

I have carefully read the foregoing and fully understand its contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.
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