FMCSA Pre-Employment Query Authorization Form

To InOut Labs: Please consider this authorization to conduct a Pre-Employment Full Query for the following job candidate. Before the employee may begin any safety-sensitive duties, we must receive both a clear query result and a negative pre-employment drug screen. Furthermore, if the driver is not registered with the FMCSA Clearinghouse, the query results may be delayed.

I understand that this query will deduct $1.25 from Employer’s Clearinghouse account. In the event the funds are not available then the query will be suspended until funds are available in Employer’s Clearinghouse account.

I further understand that InOut Labs charges a fee of $10 for each query submitted on behalf of employer.

Please understand that conducting queries is a manual process. We do our best to conduct them within 24 hours (business hours) of your request.

If you are uploading a spreadsheet click here

Query Request

"*" indicates required fields

Company Name*

Your Name*

Your Email*

Your Phone*

Driver First Name*

If you are uploading a spreadsheet click here

Driver Last Name*

CDL Number*

CDL State*

Query Type*

Consent
Full Queries: Email sent by the Clearinghouse to driver who must consent online.
Limited Queries: Employer must have consent on file. Use this. If you order a limited query, we assume you have consent on file.

Date of Birth*

By clicking “Submit ” I agree to receive emails, text messages, and phone calls. Consent is not a condition of purchase. Msg & data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP.

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Phone

This field is for validation purposes and should be left unchanged.