Online Application Form

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DRUG AND ALCOHOL CLEARINGHOUSE CONSENT FOR LIMITED QUERIES AUTHORIZATION

I understand that The Buffalo Group of Companies, has my authorization to conduct limited & annual queries of the FMCSA Drug & Alcohol Clearinghouse. This consent is valid from date of application submission until employment ceases. I must grant within 24 hour consent via the Clearinghouse website to obtain my full Clearinghouse records.

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MVR & BACKGROUND AUTHORIZATION

I understand that The Buffalo Group of Companies, has my authorization to thoroughly investigate my background. I realize the background report may include but is not limited to the following areas: Motor Vehicle Records (MVR), FMSCA PSP Records, Drug Screening, Pre-Employment Verification and Identity Verification.

This consent is given in satisfaction of Public Law 18 USC2721, "Federal Drivers Policy protection Act", and is intended to constitute "written consent" as required by this act.

I certify that all information provided by me pursuant to this agreement is true and accurate to the best of my knowledge and I have read, understand, and agree to the terms of this agreement.

I agree:
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TO BE READ AND SIGNED BY APPLICANT

I authorize The Buffalo Group of Companies, Ltd to make such investigations and inquiries to my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer or employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

"I understand that information I provide regarding current and/or previous employers may be used, and those employers(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e)."

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This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge.

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