Driver qualification / safety records authorization

Driver Authorization to Obtain MVR and PSP Report

Company: Meridian Freight Inc.

Authorization

I, the undersigned driver, hereby authorize Meridian Freight Inc. and its authorized representatives to obtain and review my Motor Vehicle Record (MVR) and Pre-Employment Screening Program (PSP) record for purposes related to driver qualification, employment, safety, compliance, and company insurance requirements.

I understand that these records may contain information regarding my driving history, accidents, violations, citations, and other information relevant to my qualification as a commercial motor vehicle driver.

Driver Information

Driver Full Name *

Date of Birth *

Driver's License Number *

State of License *

Contact & Experience

Optional, but it helps our recruiter reach you faster.

Phone

Years of CDL Experience

Endorsements

Anything else we should know?

Consent and Signature

By signing below, I confirm that I have read and understand this authorization and voluntarily authorize Meridian Freight Inc. to obtain my MVR and PSP records as permitted by applicable law.

Driver Signature *

Typing your name serves as your electronic signature.

Date *

I authorize Meridian Freight Inc. to obtain my MVR and PSP records.

Company Representative and countersign date are completed by Meridian Freight Inc. upon receipt of this authorization.

Your information is transmitted securely and used only for driver qualification.