• P.O. Box 757  Carthage,  MO  64836
  • (800) 624-0323

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Leggett & Platt, Incorporated & Subsidiaries Driver Application Form

Application ID: 1502919221

L&P Transportation LLC
P.O. Box 757
Carthage,  MO  64836
(800) 624-0323
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*If at current address less than seven years, list below most recent addresses for the past seven years.
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Have you worked for this company or its subsidiaries before?:

Commercial Drivers License

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CDL Type
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Air Brake Restriction? *
Endorsements (check all that apply)
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Current DOT Medical Card *

Driving/Hauling Experience

Education

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Additional Licenses

Drivers licenses held in the past 5 years must be shown.

Accident Review for Past 5 Years

Last Accident

Traffic Convictions & Forfeitures for Past 5 Years

Employment History

You must provide accurate dates of employment and phone numbers covering the last ten years (per DOT regulation). We cannot hire you without verifying employment. If you need to list additional employers, click "Add Another Employer" below.
EMPLOYER #1
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Driving/Hauling Experience With This Employer
You can add only 15 employers!

May we contact current employer?           Yes    No

By signing and submitting this application you authorize Leggett & Platt Incorporated and its subsidiaries to use HireRight, Tulsa, Oklahoma for your background investigation. This investigation may include driving records, criminal records, employment history verification, Social Security Number Validation, etc. from federal, state and other agencies which maintain such records; as well as information from HireRight concerning previous driving record requests made by others from such state agencies, and state provided driving records. You have the right to make a request to HireRight to request the nature and substance of all information in its files including the sources of information; and the recipients of any reports which HireRight has previously furnished within the two year period preceding your request. Do you authorize, without reservation, any party or agency contacted by HireRight to furnish the above-mentioned information and consent to Leggett & Platt Incorporated & its subsidiaries obtaining the above information from HireRight?:

Authorization

I understand that my completing this application does not imply any promise of my employment with Leggett & Platt.  I further understand that if I am employed, my employment will be at will, and, I may leave employment or Leggett & Platt may terminate my employment at any time for any reason or for no reason.

Should Leggett & Platt employ me, I will be able to show proof of my legal right to work in the Unites States as required by the Immigration Reform & Control Act of 1986.  I understand I may request accommodation if I am currently disabled or become disabled.

I realize that as a part of the applicant process I will be required to undergo a D.O.T. substance abuse screening and D.O.T. physical.  I understand that if I am offered a job, my employment with Leggett & Platt will be dependent upon my satisfactory completion of the D.O.T. substance abuse screening and D.O.T. physical.

It is agreed and understood that the employer or its agents may investigate the applicant and background to determine the accuracy and completeness of this information and I as the applicant release employers and persons named herein from all liability for any damage on account of his/her furnishing such information.

I understand according to 391.23(i)(1) of the Federal Motor Carrier Safety Regulations I as a driver applicant have the right to review the information obtained from previous employers, to correct errors in that information and rebut perceived incorrect information.  If I wish to review previous employer-provided investigative information I must submit a written request to Leggett & Platt Corporate Logistics - Compliance Department up to thirty (30) days after being employed or being notified of denial of employment.

I certify that the information on this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.  I understand that the falsification of any information on this application will be grounds for Leggett & Platt, to refuse to hire me or to terminate my employment should such falsification be discovered after I am employed.

Leggett & Platt is an equal employment opportunity/Affirmative Action/Veteran/Disability Employer


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This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

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Date: 2017-08-16 16:33:41

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