A Fresh Produce Industry Leader in:
Food Safety, Distribution, Quality Products and Services

Driver Application

You must agree to the following terms and conditions before proceeding:

Disclosure and Release

I authorize CASTELLINI COMPANY LLC or any other third party such as DAC Services, to obtain any and all past employment/lease records regarding previous employment/lease (work history) and other areas of my background such as past employer/lease inquiries, retail credit inquiries, criminal record inquiries, driving history, educational records, drug/alcohol testing results and safety performance history. I agree to hold CASTELLINI COMPANY LLC and any and all of my past employers/lessees, harmless regarding any information that is obtained during the background inquiry. I am aware that this report in part is prepared under the guidelines of the Fair Credit Reporting Act (FCRA) and I am eligible to receive, upon written request, a copy of the report to view and possibly correct if not hired or not permitted to operate a vehicle for an owner-operator leased to CASTELLINI COMPANY LLC.

I have the right to make a request to DAC and/or my past employers, upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including the resources of information, and the recipients of any reports on me which DAC has previously furnished within the three-year period preceding my request.

I hereby consent to CASTELLINI COMPANY LLC obtaining the above information from DAC, and I agree that such information which DAC has or obtains, and my qualification history with CASTELLINI COMPANY LLC if I am qualified, will be supplied by DAC to other companies, which subscribe to DAC Services. I hereby authorize procurement of driving record report(s). If qualified, this authorization will remain on file and will serve as ongoing authorization for CASTELLINI COMPANY LLC to procure driving reports at any time during my qualification period. As of 10/29/04, I also authorize CASTELLINI COMPANY LLC to create and maintain a Driver Investigation History File (DIHF) on my behalf in accordance with part 391(FMCSR).





Last Name*

First Name*

Middle Initial

Email*

Street Address*

City*

State*

Zip*

Home Phone Number*

Cell Phone Number

State of Residence*

County of Residence*

Social Security Number*

Date of Birth*

Driver License State*

CDL Driver’s License#*

Expiration Date*

How did you hear about us?

Have you ever been convicted of a DUI, DWI or FELONY?*

Past Employer Information

Employer

Address

Your Position

Salary

Date Started

Date Ended

Supervisor name and title

Reason for leaving

Past Employer Information (2)

Employer

Address

Your Position

Salary

Date Started

Date Ended

Supervisor name and title

Reason for leaving

May we contact your current Employer?*

BY SUBMITTING THIS, I AGREE THAT I HAVE SUBMITTED THIS APPLICATION VIA THE INTERNET AND AUTHORIZE CASTELLINI COMPANY LLC OR ANY OF THEIR AFFILIATES TO PERFORM NECESSARY BACKGROUND INQUIRIES.

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