Laborchex Companies




Sample Report - DOT (Dept. of Transportation) Verification

[Investigation Description]

DOT EMPLOYMENT VERIFICATION

EMPLOYER
Fast and Speedy Trucking
345 East Main St.
Tupelo, MS 39404

STATUS: Research Complete

 DATA SUPPLIEDDATA CONFIRMEDALERT
Dates Of Employment 5/05 - 4/09 5/05 - 4/09 No
Supervisor / Title Ms. Barbara Smith/Owner Ms. Barbara Smith/Owner No
Job Title Truck Driver Truck Driver No
Job Description Deliver commodities Deliver commodities No
Salary 30 cents/mile + 30 cents/mile + No
Currently Employed No No No
Reason For Leaving Tired of driving Left with notice No

ELIGIBLE FOR REHIRE: Yes
EXPLANATION: Would need to be retested for drug and alcohol.

COMMENTS: NO ADDITIONAL COMMENTS PROVIDED.

VERIFIED BY: D. Vernon
DATE VERIFIED: 02/05/09

CAUSE FOR SEPARATION: Voluntary
TYPE OF COMPANY: Small Trucking
EQUIPMENT TYPE: Tractor-semi
TRAILER TYPE: Dry Van
TYPE OF FREIGHT HAULED: Appliances and auto parts
GEOGRAPHIC AREA: 48 states
FULL OR PART TIME: Full Time
OVER THE ROAD OR LOCAL: Over The Road
QUALIFIED FOR SINGLE OPERATION: Yes
QUALIFIED FOR TEAM OPERATION: No
HAZARDOUS MATERIALS: Yes

ELIGIBLE FOR REHIRE: Yes
DETAILS: Would need to be retested for drug and alcohol.

TESTED POSITIVE FOR A CONTROLLED SUBSTANCE IN THE LAST 3 YEARS: No
DETAILS: N/A

ALCOHOL TEST WITH A BREATH ALCOHOL CONCENTRATION OF 0.04 OR GREATER IN THE LAST 3 YEARS: No
DETAILS: N/A

REFUSED A REQUIRED TEST FOR DRUGS OR ALCOHOL IN THE LAST 3 YEARS: No
DETAILS: N/A

VIOLATED OTHER D.O.T. DRUG/ALCOHOL REGULATIONS: NO

IF SO, IS THERE DOCUMENTATION OF SUCCESSFUL COMPLETION OF D.O.T. RETURN-TO-DUTY REQUIREMENTS, INCLUDING FOLLOW-UP TESTS: N/A

SUBSTANCE ABUSE PROFESSIONAL:N/A
LOCATION: N/A

NUMBER OF ACCIDENTS: 1

ACCIDENTS
DATETYPECOSTCHARGEABLEFATALITIESINJURIES
06/23/06 Backing $3,400Yes No Yes