Official Disclosure Statement:
I certify that I personally completed this application and that all of the information is true and correct to the best of my knowledge.
I understand that Silk Road Transport is at at-will employer.
I understand that if I have a protected handicap that affects my ability to perform the responsibilities of the position for which I am hired, I may ask Silk Road Transport to attempt to make accomodations as required by law. My request must be in writing to Silk road Transport as soon as possible but no later than 182 days after the date I know the accomodations are needed.
Authorization to Release Records/Driving Record-M.V.R Disclosure & Release:
By my signature I authorize you to make such investigative inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arrivng at an employment decision. (inquiries to medical history will be made only if and after a conditional offer of employment has been made.)
In connection with my application for employment (or contracted services) with Silk Road Transport, I understand that state driving records shall be obtained from the State of Record where I hold or have held my drivier's license. I understand these records contain public information pertaining to my driving history. I authorize Silk Road Transport to obtain these records as part of the application/hiring process in making a determination to hire me as a commercial driver.
I authorize any party or agency contacted (State Licensing Departments, insurance providers, etc.) to furnish any information regarding my driving record.
I hereby authorize procurement of driving record report/s. If hired (or contracted), this authorization shall remain on file and in affect throughout my employment (or contract) period with Silk Road Transport.
I hereby release schools, employers, health care providers and other persons from all liability in responding to inquiries and releasing information in connections with my application.
In the event i am employeed by Silk Road Transport, Inc., I understand that false or misleading information given in my application, interview or any other part of the hiring or employment process may result in the termination of my employment. In addition I understand that I am requred to abide by all rules, policies and regulations of Silk Road Transport, Inc.
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and (e).
I understand I have a right to:
Review information provided by previous employers
Have any errors in the information a previous employer has provided to be corrected and resubmitted
Have a rebuttal statement attached to the alleged erroneous information, if the pevious employers(s) and I cannot agree on the accuracy of the information.