FMCSA Clearinghouse Consent


General Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse

 

I,  hereby provide consent to TDF Enterprises, LLC, an Iowa limited liability company to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse.

I consent to multiple limited queries for the duration of my employment, contract, and/or driving privileges. 

I understand that if the limited query conducted by TDF Enterprises, LLC  indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information to TDF Enterprises, LLC  without first obtaining additional specific consent from me.

I further understand that if I refuse to provide consent for TDF Enterprises, LLC  to conduct a limited query of the Clearinghouse, TDF Enterprises, LLC must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations.

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Signature Certificate
Document name: FMCSA Clearinghouse Consent
lock iconUnique Document ID: 273cc994600a2c98809e5864405065dc07b04feb
Timestamp Audit
October 29, 2021 4:00 pm CSTFMCSA Clearinghouse Consent Uploaded by TDF Enterprises, LLC - [email protected] IP 108.160.230.66