Enter today's date, your Social Security Number and your full name.
Enter your name and driver's license number if you have read and understood the above.
Coastline Transport - Drug and Alcohol Testing Program vM18
In accordance with 49 CFR 382.601(a), Coastline Transport is providing a copy of our Drug and Alcohol Testing Program policy. It is your responsibility to read and understand this policy. Your Digital Signature on this application will serve as your receiving and acknowledgement of the policy.
I hereby certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.