IMPORTANT NOTICE REGUARDING BACKGROUND 

In connection with our application for employment with NEW CHANCE TRANSPORT, Inc., it may obtain one 
or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier 
Safety Administration (FMCSA). 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. 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: I authorize NEW CHANCE TRANSPORT, 
Inc. 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. 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 tohttps://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.

REPORTS FROM THE PSP

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 herby authorize Prospective Employer and its employees, authorized agents, 
and/or affiliates to obtain the information authorized above.

IMPORTANT NOTICE REGUARDING BACKGROUND 

In connection with our application for employment with NEW CHANCE TRANSPORT, Inc., it may obtain one 
or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier 
Safety Administration (FMCSA). 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. 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: I authorize NEW CHANCE TRANSPORT, 
Inc. 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. 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 tohttps://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.

REPORTS FROM THE PSP

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 herby authorize Prospective Employer and its employees, authorized agents, 
and/or affiliates to obtain the information authorized above.