MVR + BACKGROUND CHECK CONSENT
Employers who are regulated by the Federal Motor Carrier Safety Administration (FMCSA) must expressly notify an applicant, who has been employed by a Department of Transportation-regulated employer during the preceding three years, that the applicant has certain rights regarding the investigative information that will be provided by his/her previous employer(s). After providing the driver-applicant with a written copy of these rights, use this form to obtain his/her signature and provide the applicant with a copy. By regulation you must inform the driver of his/her rights before accepting the driver's application for employment.

Please contact Elevate Fulfillment with any questions.

Phone: 208-522-5300
Email: info@elevate3pl.com

Email address *
DRIVER'S FULL LEGAL NAME *
DRIVER'S CURRENT ADDRESS *
DRIVER'S LICENSE NUMBER *
STATE OF ISSUE *
EXPIRATION DATE *
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Please upload a photo of your DL - Front and Back *
Required
I acknowledge that I have been provided with written instructions regarding my rights as defined in Part 391.21(i)-(j) of the Federal Motor Carrier Safety Regulations. I have reviewed these materials which include information on the following: *
You must select all three boxes.
Required
I certify that all the information submitted by me on this application is true and complete. I give permission to the prospective employer to run a background check. In consideration of my employment, I agree to conform to the company’s rules and regulations and agree that my employment and compensation can be terminated with or without cause and with or without notice at any time at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed with or without cause and with or without notice at any time by the company. *
Enter your full name as your electronic signature.
Submit
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