Clearinghouse Consent

DISCLOSURE

What is the CDL Drug and Alcohol Clearinghouse?

A secure, online database that will give employers and other authorized users real-time information about commercial driver’s license (CDL) and commercial learner’s permit (CLP) holders’ drug and alcohol program violations, thus improving safety on our Nation’s roadways.

Which drivers are covered by it?

Any driver who holds a CDL (CDL driver) and meets the requirements of the CDL standards (49 CFR Part 383), and the FMCSA Drug and Alcohol Testing Program (Part 382). References to CDL drivers also includes CLP drivers.

How will CDL drivers use the Clearinghouse?

Beginning January 6, 2020, registered CDL drivers can use the Clearinghouse to:

• Provide electronic consent to release detailed drug and/or alcohol violation information in your Clearinghouse record to a current or prospective employer (when an employer conducts a full query).

• Review your own Clearinghouse record and initiate the process to revise or remove incorrectly entered information.

• Identify a substance abuse professional (SAP) to report on RTD activities, if you have an unresolved drug and alcohol program violation in your Clearinghouse record.

CDL DRUG & ALCOHOL CLEARINGHOUSE CONSENT

By entering my name below, as my digital signature, I hereby provide consent to Celebrity Coaches, Inc and Entourage Livery, Inc to conduct a limited query of the FMCSA Commercial Driver’s License Drug & Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. This consent will include an initial query as well as an annual query for the duration of my employment with the company. I understand that if the limited query conducted indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information without first obtaining additional specific consent from me. I further understand that if I refuse to provide consent to prospective employer or current employer to conduct a limited query of the Clearinghouse, I will be prohibited from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA Drug and Alcohol Program.

My Name

Date

CDL License #

Issuing State

Email*

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CELEBRITY LIMO GROUP

Entourage Livery Inc & Celebrity Coaches Inc

817 + 675 East Washington St, North Attleborough, MA 02760