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Pre-Employment Screening Program (PSP) Operator-Applicant Consent Form (03766)
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Pre-Employment Screening Program (PSP) Operator-Applicant Consent Form

Helps you meet the requirements of 49 U.S.C. 31150. Read more.

Product Code: 16211
List Price: $26.67
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  • Completion of this form allows a prospective employer to access FMCSA’s Pre-Employment Screening Program (PSP) records for a driver-applicant, including five years of crash data and three years of inspection history. A consent form is required under 49 U.S.C. 31150.
  • Snap-out format
  • Two plies
  • Measures 8-1/2" W x 11-3/4" L
  • Can be customized with company logo - call 877-564-2333 to order

Volume Pricing

Volume Pricing
Product Code Description 25 - 49 50 - 99 100 - 249
Higher quantities available. Pricing reflected in shopping cart or call 1-877-564-2333 to order.
2-Ply, Snap-Out


Product Code Description Need to Purchase a Case? Country Of Origin
2-Ply, Snap-Out
2,000 per case

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