Authorization & Release

FAIR CREDIT REPORTING ACT DISCLOSURE AND AUTHORIZATION

FOR DRIVER SCREENING AND REFERRAL PURPOSES

1. DISCLOSURE – ROLE OF BENUX CORP

Benux Corp (“Benux Corp,” “Company,” “We,” or “Us”) operates solely as a driver recruiting, screening, and referral service provider. Benux Corp does not employ drivers, does not act as a motor carrier, and does not make hiring or employment decisions.

Drivers who submit an application through Benux Corp are being considered for potential employment with one or more independent third-party motor carriers or transportation companies (each, a “Prospective Employer”). All employment decisions are made exclusively by the Prospective Employer.

2. FAIR CREDIT REPORTING ACT DISCLOSURE

In connection with your application to be considered for employment by Prospective Employers, Benux Corp and/or its authorized Prospective Employer clients may obtain one or more consumer reports and/or investigative consumer reports (collectively, “Background Check Reports”) from a third-party consumer reporting agency, as permitted by the Fair Credit Reporting Act (“FCRA”), 15 U.S.C. §1681 et seq.

These reports are obtained solely for driver screening, referral, and employment consideration purposes.

3. SCOPE OF BACKGROUND CHECK REPORTS (INCLUDES MVR)

Where permitted by law, Background Check Reports may include one or more of the following:

• Motor Vehicle Record (“MVR”) checks from state Departments of Motor Vehicles
• Commercial driver’s license status, class, endorsements, and restrictions
• Driving history, accidents, citations, violations, and convictions
• Criminal background checks
• Employment verification and safety performance history
• Education and credential verification
• Professional license verification
• Reference checks
• Public records searches

A consumer credit report will not be obtained. However, publicly available court records (such as bankruptcy filings) may appear as part of public-record searches.

4. ADVERSE ACTION NOTICE (FCRA COMPLIANCE)

If a Prospective Employer uses information contained in a Background Check Report, in whole or in part, to make an adverse employment decision, the Prospective Employer—not Benux Corp—will provide you with:

1. A copy of the report relied upon, and
2. A written summary of your rights under the Fair Credit Reporting Act

before taking final adverse action, as required by law.

5. AUTHORIZATION TO OBTAIN BACKGROUND CHECK REPORTS

By signing below, I authorize and instruct Benux Corp, acting solely as a recruiting and screening service provider, its authorized Prospective Employer clients, and any designated consumer reporting agency or background check vendor to request, obtain, and disclose Background Check Reports about me for employment consideration purposes.

I understand that information I provide to Benux Corp may be shared with Prospective Employers for the purpose of evaluating my qualifications as a commercial driver.

6. MOTOR VEHICLE RECORD (MVR) AUTHORIZATION

I expressly authorize Benux Corp, its authorized Prospective Employer clients, and any designated background check vendor to request, obtain, and review my Motor Vehicle Record (“MVR”) from any state Department of Motor Vehicles or equivalent motor vehicle authority.

I understand that my MVR may include information regarding:

• Driver’s license status, class, and endorsements
• Accidents, citations, violations, and convictions
• License suspensions, revocations, cancellations, or restrictions

I authorize such MVR inquiries as required for employment consideration and, if applicable, during the duration of my employment with a Prospective Employer as permitted by law.

7. FMCSA PRE-EMPLOYMENT SCREENING PROGRAM (PSP) DISCLOSURE

In connection with your application for employment consideration, Benux Corp and/or its authorized Prospective Employer clients may obtain information from the Federal Motor Carrier Safety Administration (“FMCSA”) Pre-Employment Screening Program (“PSP”) regarding your commercial driving safety performance.

Benux Corp acts solely as a facilitator of this process and does not make employment decisions.

If a Prospective Employer uses PSP information to take adverse action, the Prospective Employer—not Benux Corp—will provide all notices required under the Fair Credit Reporting Act.

8. PSP AUTHORIZATION

I authorize Benux Corp and its authorized Prospective Employer clients to access the FMCSA PSP system to obtain my:

1. Crash data from the previous five (5) years, and
2. Roadside inspection history from the previous three (3) years

for employment consideration purposes.

I understand that PSP reports include all reportable crashes and inspections, regardless of fault, and that Benux Corp cannot modify or correct PSP data.

9. FMCSA DRUG AND ALCOHOL CLEARINGHOUSE – LIMITED QUERY CONSENT

I provide consent to Benux Corp and its authorized Prospective Employer clients to conduct limited queries of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information exists about me.

This consent applies for employment application processing and, if hired, for the duration of my employment with a Prospective Employer, as permitted by law.

10. SAFETY PERFORMANCE HISTORY RELEASE (49 CFR §391.23)

I authorize my previous employers to release safety performance history information to Benux Corp and/or Prospective Employers as required by 49 CFR §391.23.

I release my previous employers, their officers, employees, and agents from liability for the lawful disclosure of such information.

11. RELEASE OF LIABILITY

I hereby release and hold harmless Benux Corp, its Prospective Employer clients, background check vendors, consumer reporting agencies, and their respective officers, employees, agents, and representatives from liability arising out of the lawful collection, disclosure, and use of information obtained pursuant to this authorization.

12. STATE LAW NOTICES

Certain state laws, including but not limited to California, Minnesota, and Oklahoma, require additional disclosures regarding investigative consumer reports. Such notices apply where legally required and are incorporated by reference into this authorization.

13. AUTHORIZATION VALIDITY

This authorization shall be valid in original, electronic, scanned, faxed, or photocopied form and may be relied upon by Benux Corp and its authorized Prospective Employer clients.