Driver Disclosure: Part 1

CONSUMER REPORT AND INVESTIGATIVE CONSUMER REPORT DISCLOSURE FOR EMPLOYMENT PURPOSES

In connection with your employment or application for employment (including contract for services ) and in accordance with applicable laws, the Company, Lee TranServices, Inc., and HireRight may obtain or assemble consumer reports and/or investigative consumer reports (collectively, “Reports” ) which may include information about you related to previous employment (including employers, dates of employment, salary information, reasons for termination, etc. ), accident history, safely performance history/violation information, academic history, verification of references and other information supplied by the applicant, professional credentials, drug/alcohol use in violation of law and/or company policy, driving records, workers’ compensation claims, credit history, credit worthiness, credit capacity, bankruptcy filings, criminal history records, information about your character, general reputation, personal characteristics and mode of living (collectively, “ information”). Information may be obtained from government agencies, educational institutions, HireRight clients, personal references, personal interviews, and other information suppliers (collectively, “Suppliers”).

Upon providing proper identification and complying with any applicable legal requirements, you have the right to request the nature and substance of all information in HireRight’s files pertaining to you at the time of your request, including but not limited to: (i) whether any Reports have been provided by HireRight to other parties; (ii) identification of any Suppliers utilized by HireRight in compiling such Reports; (iii) identification of any recipients of Reports furnished by HireRight within the two (2) year period preceding your request. HireRight may be contacted by mail at P.O. Box 33181, Tulsa, Oklahoma, 74153, or by phone at (800) 381-0645. Visit www.hireright.com/Privacy-Policy.aspx for HireRight’s privacy practices.

AUTHORIZATION FOR RELEASE OF INFORMATION (FOR EMPLOYMENT PURPOSES)

Thereby authorize the Company, Lee TranServices, Inc., and HireRight to receive information and disclose such information to its customers for the purpose of making a determination as to my eligibility for employment, promotion, retention, or other lawful purpose. If hired or contracted, I authorize the Company and HireRight to retain this document on file to act as ongoing authorization for the procurement and possession of Reports at any time during my employment or contract period. I fully release HireRight and Suppliers from all claims of damages related to the investigation of my background and provision of information as set forth in this disclosure and authorization. I agree that information in the Company’s possession and my employment history with the Company if I am hired, may be supplied by the Company to other motor carriers for legally permissible purposes provided, such information will not include the Drug and Alcohol information set forth in Part II below, unless I have given a separate specific consent for the Company to share such information.

FM CSA Notification of Driver Rights

In compliance with 49 CFR Part 391.23 (i) you have certain rights regarding the performance history information that will be provided to prospective employers. I) You have the right to review the information provided by previous employers. II) You have a right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to prospective employers. III) You have the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information. (2) Drivers who have previous Department of Transportation regulated employment history in the preceding three years, and wish to review previous employer-provided investigate information must submit a written request to the prospective employer, which may be done at any time, including when applying, or at late as 30 days after being employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five (5) business days of receiving the written request. If the prospective employer has not yet received the requested information from the previous employer(s), then the five-business days deadline will begin when the prospective employer receives the requested safety performance history information. If the driver has not arranged to pick up or receive the requested records within thirty (30) days of the prospective employer making them available. The prospective motor carrier may consider the driver to have waived his/her request to review the records.

Driver Disclosure: Part 2

DISCLOSURE AND AUTHORIZATION FOR RELEASE OF INFORMATION FOR EMPLOYMENT PURPOSES – 49 CFR PART 391.23, DOT DRUG AND ALCOHOL TESTING

In accordance with DOT Regulation 49 CFR Part 391.23, [ hereby authorize release of my DOT-regulated drug and alcohol testing records by the DOT-regulated employer(s) listed below to the Company. I understand that information/ documents released pursuant to this Part I is limited to the following DOT-regulated testing items, including pre-employment testing results, occurring during the previous three (3) years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested (including adulterated and/or substituted tests); (iv) other violations of DOT drug and alcohol testing regulations (i.e., violations of 49 CFR 382 Subpart B); (v) information obtained from previous employers of a drug and alcohol rule violation; and (vi) any documentation of completion of the return-of-duty process following a rule violation.

In any company listed below furnishes the Company with information concerning items (i) through (vi) above, I also authorize such company to furnish the following information, if applicable: (i) dates of my negative drug and/or alcohol tests and/or tests with results below 0.04 during the previous three (3) years; and (iii) the name and phone number of any substance abuse professional who evaluated me during the previous three (3) years.

List all DOT-regulated employers you have applied with and/or worked for in a safety-sensitive function during the previous three (3) years. If necessary, attach additional pages, including the date, your name, social security number and signature.

Driver Statement of On-Duty Hours (New Hires Only)

Federal Motor Carrier Safety Regulation 395.80(j)(2) requires that, prior to using a driver for the first time, motor carriers obtain a signed statement from the driver that provides the total time they spent on-duty during the immediate preceding 7 days and the time at which the driver was last relieved from duty prior to beginning work for a motor carrier. Note: All hours spent working for compensation during the preceding 7 days, including work for a non-motor carrier entity, must be recorded on this form.

Driver Certification for Other Compensated Work

When employed by a motor carrier, a driver must report all on-duty time, including time working for other employers, to that carrier. The definition of on-duty time found in FMCSR 395.2(8) and (9) includes time performing any work in the capacity of or in the employ/service of a common, contract, or private motor carrier, and compensated work for a non-motor carrier entity.