I hereby provide consent to Robert Bearden Inc to conduct a limited query of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I understand this consent shall remain on file and shall serve as ongoing consent for Robert Bearden Inc to conduct multiple limited queries of the Clearinghouse at any time during my employment or contract period without asking me for additional consent.
I understand that if I refuse to provide consent for Robert Bearden Inc to conduct a limited query of the Clearinghouse, Robert Bearden Inc is required to prohibit me from performing safety-sensitive functions, including operating a commercial motor vehicle.
I understand that if the limited query conducted by Robert Bearden Inc indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Robert Bearden Inc unless I give additional specific consent within the Clearinghouse. However, I understand that Robert Bearden Inc will be required to conduct a full query of the Clearinghouse within 24 hours after a limited query indicates that drug or alcohol information exists and that if I do not grant consent within the Clearinghouse for that full query I will be removed from performing safety-sensitive functions, including operating a commercial motor vehicle.
Full Name
Date
Signature
