I certify that I have personally completed this application and all of the information provided is true and correct.

I hereby request and authorize any company that receives this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information.

I have completed this application of my own free will and hold Hoffman Transportation, Inc., their shareholders, executives, employees and appointed agents, harmless of all liability relating to or resulting from the transmission, use, or storage of this application and the information contained therein.

By typing my name and date below, I verify that I have read this notification and authorize a DAC Background Check be conducted on the information I have provided.

CLICK HERE TO INDICATE YOU HAVE READ, UNDERSTAND, AND AGREE TO THE SUBMISSION AND AUTHORIZATION TERMS

I certify that I have personally completed this application and all of the information provided is true and correct.

I hereby request and authorize any company that receives this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information.

I have completed this application of my own free will and hold Hoffman Transportation, Inc., their shareholders, executives, employees and appointed agents, harmless of all liability relating to or resulting from the transmission, use, or storage of this application and the information contained therein.

By typing my name and date below, I verify that I have read this notification and authorize a DAC Background Check be conducted on the information I have provided.

In connection with my application for employment (including contract for services) with Hoffman Transportation, I understand that consumer reports which may contain public record information may be requested from DAC Services, Tulsa, Oklahoma. These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, accidents, etc. I further understand that such reports may contain public record information concerning my driving record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc., from federal, state and other agencies which maintain such records; as well as information from DAC concerning previous driving record requests made by others from such state agencies, and state provided driving records.

I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY DAC TO FURNISH THE ABOVE-MENTIONED INFORMATION.

I have the right to make a request to DAC, upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including the sources of information; and the recipients of any reports on me which DAC has previously furnished within the two year period preceding my request. I hereby consent to Hoffman Transportation obtaining the above information from DAC, and I agree that such information which DAC has or obtains,and my employment history with Hoffman Transportation if I am hired. will be supplied by DAC to other companies which subscribe to DAC Services.

I hereby authorize procurement of consumer report(s), If hired (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for Hoffman Transportation to procure consumer reports at any time during my employment (or contract) period.

CLICK HERE TO INDICATE YOU HAVE READ, UNDERSTAND, AND AGREE TO THE DAC AGREEMENT TERMS

IMPORTANT NOTICE

IMPORTANT NOTICE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service
1. In connection with your application for employment with ________________________ ("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 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 Reporting Act.
The Prospective Employer cannot obtain background reports from 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 ________________ ("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 https://dataqs.fmcsa.dot.gov. 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 Background Reports provided to me by 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.

CLICK HERE TO INDICATE YOU HAVE READ, UNDERSTAND, AND AGREE TO THIS AUTHORIZATON

IMPORTANT NOTICE

IMPORTANT NOTICE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service
1. In connection with your application for employment with ________________________ ("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 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 Reporting Act.
The Prospective Employer cannot obtain background reports from 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 ________________ ("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 https://dataqs.fmcsa.dot.gov. 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 Background Reports provided to me by 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.