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

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

Starting at:
$0.8961

Product Code: 16211

List Price: $22.40

Helps you comply with 49 CFR §391.43 DOT medical card requirements.

(21)

Helps you comply with 49 CFR §391.43 DOT medical card requirements.

(1)

Helps you comply with 49 CFR §391.43 DOT medical card requirements.

(4)

Overview Pricing Specification View Sample Related Solutions Q&A Reviews

Overview

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
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.
16211	2-Ply, Snap-Out	$0.8961	$0.57902	$0.51009

Specification
Product Code	Description	Need to Purchase a Case?
16211	2-Ply, Snap-Out	2,000 per case