Thank you for your interest in 800K LLC. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

To fill out this form, you will need to know the following:

• Social Security Number
• Home address history for the past 3 years
• Current driver license number and driver license history for the past 3 years
• Employment history up to 10 years
• History of traffic accidents, violations and/or convictions from the last 3 years (including DUI or reckless driving conviction and license suspension)
• Military history (if applicable)

Required entry fields are followed by *, meaning you must provide the requested information to continue. If you encounter any errors during this process and cannot continue, please contact us at 224-201-1373.

To qualify with 800L LLC, you must meet the following criteria:

• Must be at least 23 years of age
• Must have a valid CDL
• Must meet all DOT requirements and qualifications

Please enter detailed information about this accident below, whether the accident was chargeable, recordable, reportable, or your fault.

THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

In connection with your application for employment with 800K LLC (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

I authorize 800K LLC (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report.

I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if Isign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.

NOTICE: The prospective employment concept referenced in this form contemplates the definition of “employee” contained at 49 C.F.R. 383.5.

LAST UPDATED 2/11/2016

800K LLC

DRUG AND ALCOHOL POLICY & INFORMATION PACKET

800K LLC is committed to providing a safe workplace for its employees, and the company is also committed to placing safe, professional drivers in its vehicles. We intend our workplace to be drug free, and that employees will be free from the effects of alcohol while on duty.

A critical part of this company’s program is compliance with the Federal Motor Carrier Safety Regulations, CFR 40, and Part 382. The following information is provided in accordance with Part 382.601:

Designated Employer Contact

MASTER MED is the company’s designated person for providing information on the controlled substances program. Questions should be directed to her/him at (ph. # 630-422-7497)

Categories Subject to Testing

All drivers that operate a vehicle that requires a Commercial Driver License, who work part time or full time for 800K LLC are subject to the controlled substance testing provisions in CFR 40 & Part 382.

Safety Sensitive Functions

All drivers are considered to be performing safety sensitive functions during any period in which they are actually performing, ready to perform, or immediately available to perform as a driver of a commercial motor vehicle. These functions are further defined as:

• Time at a terminal, facility or other property waiting to be dispatched.
• Time inspecting equipment as required, or servicing/conditioning a motor vehicle.
• Driving.
• Time spent in or on any commercial vehicle.
• Time spent loading or unloading a vehicle or remaining in readiness to operate a vehicle.
• Time spent supervising or assisting loading or unloading a vehicle.
• Time spent attending a vehicle being unloaded.
• Time spent performing driver requirements relating to accidents.
• Time spent repairing, obtaining assistance or remaining in attendance upon a disabled vehicle.
• Time spent providing a breath or urine sample in compliance with the requirements of Part 382.

Prohibited Conduct

Specifically, all drivers who are performing safety sensitive functions must comply with the following:

• No driver shall report for duty or remain on duty while having an alcohol concentration of 0.02 or greater.
• No driver shall possess alcohol, unless the alcohol is manifested and transported as part of a shipment.
• No driver shall use alcohol while performing safety sensitive functions.
• No driver shall perform safety sensitive functions within four hours of using alcohol.
• No driver required to take a post accident alcohol test shall use alcohol for eight hours following the accident, or until he or she undergoes a post accident alcohol test, whichever occurs first.
• No driver shall refuse to submit to a post accident; random; reasonable suspicion; or follow-up, alcohol or controlled substances test.
• No driver shall report for duty or remain on duty when the driver uses any controlled substance. An exception is when the use of the controlled substance is pursuant to the instructions of a physician who has advised the driver that the substance does not adversely affect the driver’s ability to safely operate a commercial motor vehicle. (The employer may require a driver to inform the employer of any therapeutic drug use.) Note: the use of another individual’s prescription medicine may be considered prohibited controlled substance use. h. No driver shall report for duty, remain on duty, or perform a safety sensitive function, if the driver tests positive for controlled substances.

Types of Testing

The following alcohol and controlled substance tests will be performed. In order for the driver to be allowed to perform safety sensitive functions, a negative result for controlled substances and an alcohol concentration of less than 0.02 will be necessary. (a concentration between 0.02 and 0.039 will result in a 24 hour disqualification. A concentration of 0.04 will result in a positive test)

• Pre employment - administered prior to a driver performing safety sensitive functions for the first time for an employer. (Controlled substances testing only)
• Post accident - administered as soon as practicable, following an accident involving a commercial motor vehicle, if there is a fatality, or if the driver is cited for a moving traffic violation. (We must test for alcohol within 8 hours of the accident, and controlled substances within 32 hours).
• Random - administered if a driver’s name is selected in a random drawing, conducted periodically throughout the year. Drivers notified of a random selection must submit immediately for testing.
• Reasonable suspicion - administered if the employer has reasonable suspicion to believe the driver is in violation of any of the prohibitions listed above.
• Return to duty - Administered prior to a driver returning to duty, following a “positive” controlled substances or alcohol test. We must also administer a return to duty test if a driver is disqualified from the random pool for any reason, and then re-enters the random pool.
• Follow-up – If a driver has refused to test or tested positive, and wishes to be re-qualified to perform safety sensitive functions, he/she must be counseled by a Substance Abuse Professional (SAP), follow the recommended program, and then produce a negative “Return to Duty” test result. The SAP will then direct the company to administer a minimum of six “Follow-up” tests in the next 12 months. This number may be increased by the SAP. The company will select the times for the follow-up tests.

Testing Procedures

All testing will be performed with procedures that are outlined in the Code of Federal Regulations, Part 40. These procedures are designed to protect the driver, maintain integrity in the testing process and safeguard the validity of the test results.

Consequences of Prohibited Conduct

Any driver who engages in conduct prohibited by Part 382 will be immediately removed from performing any safety sensitive function. In addition, the driver will be subject to termination from his/her employment with 800K LLC. Under the company’s current policy, the driver who tests positive or refuses to test when requested will be offered a “once per lifetime” last chance to be reinstated. The reinstatement will be subject to the driver submitting to a treatment needs assessment by an authorized Substance Abuse Professional, and following and completing the recommended treatment. In addition, the driver will be required to submit to a Return to Duty controlled substance and/or alcohol test.

Refusal to Test

If any driver refuses to test under the conditions outlined in Part 382, the refusal will be treated as a positive result, and will be subject to consequences of a positive test.

Information

The following pages contain information regarding the symptoms and effects of the use of alcohol and controlled substances.

All employees are encouraged to be familiar with this document and with the requirements of the Federal Motor Carrier Safety Regulations, Parts 382 and Part 40.

ALCOHOL AND CONTROLLED SUBSTANCES

PHYSICAL SYMPTOMS, USES AND EFFECTS

General Signs of Abuse of alcohol and controlled substances include:

• Tardiness or absenteeism
• Borrowing money from co-workers
• Problems with relationships
• Increased irritability
• Decreased attention span
• Difficulty remembering instructions
• Taking criticism personally
• Denial of any problem
• Paraphernalia present

Types of paraphernalia:

• Roach clips
• Cigarette papers
• Pipes, bongs
• Razor blades, small mirrors
• Small spoons and straws
• White powder
• Syringes; needles
• Eye droppers
• Rubber tubing