Please read all requirements before applying. Thank you!

Driver application requirements for auto liability insurance. 

Drivers must be 25+ years old or older.
Drivers must have 2+ years of experience with a class A license.
No more than 2 violations/accidents in a 3 year period.
Drivers with serious violations will be considered on a case-by-case basis.

Rule 395.8(j)(2) Federal Motor Carrier Safety Regulations: Motor carriers, when using a driver for the first time, shall obtain from the dirver a signed statement giving the total time on-duty prior to beginning work for such carrier.

Note: Hours for any compensated work during the preceding 7 (seven) days, including work for a non-motor carrier entity, must be recorded on this form.

I hereby certify that the information given above is correct to the best of my knowledge.

INSTRUCTIONS: When employed by a motor carrier, a driver must report to the carrier all on-duty time including time working for other employers. The definition of on-duty time found in Section 395.2 paragraphs (8) and (9) of the FMCSR's includes time performing any other work in the capacity, of, or in the employ of service of, a common, contract or private motor carrier, also performing any compensated work from any non-motor carrier entity.

I hereby certify that the information given above is true and I understand that once I become employed with this company, if I begin working for any additional employer(s) for compensation that I must inform this company immediately of such employment activity.

Keck Logistics may request an investigative consumer report about you from a third party consumer reporting agency for employment (including independent contractor or volunteer assignments, as applicable). An "investigative consumer report" is a background report that includes information from personal interviews (except in California, where that term includes background reports with or without information obtained from personal interviews). The most common form of an investigative consumer report in connection with your employment is a reference check through personal interviews with sources such as your former employers and associates, and other information sources. The investigative consumer report may contain information concerning your character, general reputation, personal characteristics, or mode of living, and driving records. You may request more information about the nature and scope of an investigative consumer report, if any, by contacting Keck Logistics.

You have the right, upon written request made within a reasonable time, to request:
(1) whether an investigative consumer report has been obtained about you,
(2) disclosure of the nature and scope of any investigative consumer report and
(3) a copy of your report.

The scope of this disclosure is all-encompassing, however, allowing Keck Logistics to obtain from any outside organization all manner of investigative consumer reports to the extent permitted by law.

IF YES, Documentation MUST BE PROVIDED before any safety-sensitive transportation function is performed.

The Commercial Driver's License (CDL) Drug & Alcohol Clearinghouse is a federal database containing information about CDL drivers who have violated the Federal Motor Carrier Safety Administration's (FMCSA's) drug and alcohol regulations in
49 CFR Part 382. Whether you have commited such a violation or not, each motor carrier for who you drive is required to check whether the Clearinghouse has any information about you, both at the time of hire and annually thereafter. When conducting an annual inquiry, the motor carrier has the option to request a "limited" report that only indicates whether the Clearinghouse has any information about you. Before a motor carrier may request a limited report, they must have your written authorization, per section 382.701(b). This authorization may be valid for more than one year. If a limited query ever reveals that the Clearinghouse has information about you, you will be required to log into the Clearinghouse website within 24 hours to grant electronic consent for the motor carrier to obtain your full Clearinghouse record.

NOTICE TO MOTOR CARRIER: This consent form authorizes you to run a "limited query" to check whether the Clearinghouse has information about the driver identified below. If it does, then you must obtain a full Clearinghouse record within 24 hours, per section 382.701(b). This consent form must be retained until three (3) years after the date of the last limited query you perform for this driver, based on the authorization below.

hereby authorize KECK LOGISTICS LLC to conduct limited annual queries of the FMCSA's Drug & Alcohol Clearinghouse, to determine if any Clearinghouse record(s) exists for me. This consent is valid from the date shown below until my employment with the above-named motor carrier ceases or until I am no longer subject to the drug and alcohol testing rules in 49 CFR Part 382 for the above-named motor carrier. I understand that if any limited query reveals that the Clearinghouse contains information about me, I must grant electronic consent within 24 hours, via the Clearinghouse website, for the motor carrier to obtain my full Clearinghouse record. Refusal to privide such consent will result in my removal from safety-sensitive duties.

I hereby agree, upon a request made under the drug/alcohol testing policy of KECK LOGISTICS, to submit to a drug and alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis. I understand and agree that if I at any time refuse to submit to a drug or alcohol test under company policy, or if I otherwise fail to cooperate with the testing procedures, I will be subject to immediate termination. I further authorize and give full permission to have the Company and/or its company physician send the specimine or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to the Company and/or to any governmental entity involved in a legal proceeding or investigation connected with the test. Finally, I authorize the Company to disclose any documentation relating to such test to any governmental entity involved in a legal proceeding or investigation connected with the test.

I understand that only duly-authorized Company officers, employees, and agents will have access to information furnished or obtained in connection with the test; that they will maintain and protect the confidentiality of such information to the greatest extent possible, and that they will share such information only to the extent necessary to make employment decisions and to respond to inquiries or notices from government agencies.

I will hold harmless the Company, its company physician, and any testing laboratory the Company might use, meaning that I will not sue or hold responsible such parties for any alleged harm to me that might result from such testing, including loss of employment or any other kind of adverse job action that might arise as a result of the drug and alcohol test, even if a Company or laboratory representative makes an error in the administration or analysis of the test or the reporting of the results. I will further hold harmless the Company, its company physician, and any testing laboratory the Company might use for any alleged harm to me that might result from the release or use of information or documentation relating to the drug and alcohol test, as long as the release or use of the information is within the scope of this policy and the procedures, as explained in the paragraph above.

This policy and authorization has been explained to me in a language I understand, and I have been told that if I have any questions about the test or the policy, they will be answered.

I,the undersigned driver for KECK LOGISTICS, hereby certify that I have been furnished with a copy of the company's DOT Alcohol and Drug Testing Program, including its Employee Assistance Program, and that I have read and understand the same. I further certify that I have been provided with informational material, education and training on the dangers and problems of drug and alcohol misuse. I am fully aware, and agree that I may be discharged or otherwise disciplined for any violation by me of said DOT Alcohol and Drug Plan, for any failure or refusal to provide urine and/or breath specimens when requested by my employer, for the failure or refusal to identify and certify same, for the failure to cooperate with the forms and other documents, and/or for any other failure or refusal to cooperate with my employer in its said DOT Alcohol and Drug Testing Program.

By my signature, I acknowledge that I have read, understood, and agree to comply with the drug and alcohol testing program of KECK LOGISTICS LLC, as well as the U.S. Department of Transportation Regulations as contained in 49 CFR Part 382.

I also understand that it is a condition of being considered for employment, and continued employment by the KECK LOGISTICS LLC policy.  By my signature, I consent to urine and/or breath/saliva testing for controlled substances and/or alcohol prior to and at any time during my employment when requested by my employer on a random or event triggered basis.  I hereby specifically authorize KECK LOGISTICS LLC to have all and immediate access to any and all of my urine and/or breath custody and control forms and the results thereof.

I understand and agree that I may not be under any degree of influence of alcohol or controlled substance at any time during my employment. Should any level of alcohol or controlled substance be detected in any of my breath, saliva, or urine at any time while employed, KECK LOGISTICS LLC shall have grounds for immediate termination of my employment. This authorization specifically covers any random or event triggered testing as may be required by the U.S. Department of Regulations or KECK LOGISTICS LLC policy.

I hereby agree, upon a request made under the drug/alcohol testing policy of KECK LOGISTICS, to submit to a drug and alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis. I understand and agree that if I at any time refuse to submit to a drug or alcohol test under company policy, or if I otherwise fail to cooperate with the testing procedures, I will be subject to immediate termination. I further authorize and give full permission to have the Company and/or its company physician send the specimine or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to the Company and/or to any governmental entity involved in a legal proceeding or investigation connected with the test. Finally, I authorize the Company to disclose any documentation relating to such test to any governmental entity involved in a legal proceeding or investigation connected with the test.

I understand that only duly-authorized Company officers, employees, and agents will have access to information furnished or obtained in connection with the test; that they will maintain and protect the confidentiality of such information to the greatest extent possible, and that they will share such information only to the extent necessary to make employment decisions and to respond to inquiries or notices from government agencies.

I will hold harmless the Company, its company physician, and any testing laboratory the Company might use, meaning that I will not sue or hold responsible such parties for any alleged harm to me that might result from such testing, including loss of employment or any other kind of adverse job action that might arise as a result of the drug and alcohol test, even if a Company or laboratory representative makes an error in the administration or analysis of the test or the reporting of the results. I will further hold harmless the Company, its company physician, and any testing laboratory the Company might use for any alleged harm to me that might result from the release or use of information or documentation relating to the drug and alcohol test, as long as the release or use of the information is within the scope of this policy and the procedures, as explained in the paragraph above.

This policy and authorization has been explained to me in a language I understand, and I have been told that if I have any questions about the test or the policy, they will be answered.

MOTOR CARRIER INSTRUCTIONS: The requirements in part 383 apply to every driver who operates in intrastate, interstate, or foreign commerce and operates a vehicle weighing 26,001 pounds or more, can transport more than 15 people, or transports hazardous materials that require placarding.

The requirements in part 391 apply to every driver who operates in interstate commerce and operates a vehicle weighing 10,001 pounds or more, can transport more than 15 people, or transports hazardous materials that require placarding.

DRIVER REQUIREMENTS: parts 383 and 391 of the Federal Motor Carrier Safety Regulations contain some requirements that you as a driver must comply with. These requirements are in effect as of July 1, 1987. They are as follows:

1) POSSESS ONLY ONE LICENSE: You, as a commercial vehicle driver, may not possess more than one motor vehicle operator's license. If you have more than one license, keep the license from your state of residence and return the additional licenses to the states that issued them. DESTROYING a license does not close the record in the state that issued it, you must notify the states. If a multiple license has been lost, stolen, or destroyed, close your record by notifying the state of issuance that you no longer want to be licensed by that state.

2) NOTIFICATION OF LICENSE SUSPENSION, REVOCATION OR CANCELLATION:

Sections 391.15(b) (2) and 383.33 of the Federal Motor Carrier Safety Regulations require that you notify your employer the NEXT BUSINESS DAY of any revocation or suspension of your driver's license. In addition, Section 383.31 requires that any time you violate a state or local traffic law(other than parking), you must report it within 30 days to: 1) your employing motor carrier, and 2) the state that issued your license (if the violation occurs in a state other than the one which issued your license). The notification to both the employer and state must be in writing.

I certify that I have read and understood the above requirements.

KECK LOGISTICS is an "at will employer", Meaning that either KECK LOGISTICS, or an employee of KECK LOGISTICS, may terminate the employment relationship at any time, for any reason.

KECK LOGISTICS reserves the right to be reimbursed, by way of deduction from the final paycheck to an employee, for any and all initial costs invested in that employee, if employment is terminated for any reqson within the 90 (ninety) day probationary period. These costs include, but are not limited to, training and uniforms.

KECK LOGISTICS also reserves the right to deduct from the final paycheck to an employee, any mounts duly owed to KECK LOGISTICS, by way of either written or verbal agreement between the employee and KECK LOGISTICS. This includes, but not limited to, advanced items purchased from the company for personal use, the fair marketable value of anything taken by the employee or their visitors.

I, understand that if my employment with KECK LOGISTICS is terminated within the ninety (90) days probationary period, I am responsible for the reimbursement of all costs associated with my initial employment. I understand further that I am responsible for payment to KECK LOGISTICS for any amounts duly owed. I therefore give my full and complete permission to KECK LOGISTICS to withhold the amount necessary to fulfill my responsibilities from my final paycheck. In addition, I acknowledge that I have been advised to request a detailed schedule of deductions, in writing via postal or email, and one will be sent to me within fourteen (14) calendar days.

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.

Authorization to Release Records

I authorize the carrier subscribers indicated on this application to do a complete background investigation in accordance with state and federal laws.  I authorize my previous employers to release any information requested by these carrier subscribers and hold them harmless of all liability from the release of said information.

I hereby request and authorize to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but not limited to, any information relating to my character, general reputation, personal characteristics, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless any companies, agents and associated parties for the use of this application. 

By signing I agree that I have read the above statements and agree to them.