COMPANY INFORMATION
Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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U.S. DOT Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Owner Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Company Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Cell Phone number is required for the following notifications:
- Confirmation of filing
- Status updates
- Optional Random Test Selection (if opted in)
- Query reminders
Company Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Provide Mailing Address below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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OPERATION TYPE:
ARE YOU OWNER-OPERATOR OR EMPLOYER?
- Owner-Operators are those employers who employ themselves as CDL drivers, typically a single-driver operation.
- Employer would be the company that employs drivers to conduct transportation on behalf of that company.
Provide FMCSA Credentials Below
Enter FMCSA Portal Username ID: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Enter FMCSA Portal Password: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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FMCSA PORTAL
To set up your FMCSA Portal, please select 3 security questions below and provide answers.
Question 1: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Answer 1: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Question 2: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Answer 2: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Question 3: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Answer 3: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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YOUR EMAIL ADDRESS WILL BE USED AS YOUR USER ID.
PLEASE TYPE IN YOUR PASSWORD
NOTE THAT PASSWORDS CANNOT CONTAIN PHRASES USED IN THE USERNAME OR EMAIL.
Password must include combination of all of the following :
- One Capital Letter
- At Least 12 Characters Long
- Numbers
- Lower Case Letters
- Must Include a Special Character
(example: !@#$%)
USER ID: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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PASSWORD: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Re-type password {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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US DOT PIN Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please note that the DOT PIN number is 8 characters long and it comes in the following format: number-letter-number-number-letter-letter-number-letter.
Example: 1L34UX3P
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IMPORTANT:
UPON COMPLETING SETTING UP YOUR FMCSA PORTAL, PLEASE EMAIL ADMIN@CLEARINGHOUSEPORTAL.US THE FMCSA CREDENTIALS, IN ORDER TO FINALIZE LINKING (CONNECTING) YOUR FMCSA ACCOUNT TO YOUR CLEARINGHOUSE ACCOUNT.
QUERIES:
QUERIES MUST BE CONDUCTED PRIOR TO EMPLOYMENT AS WELL AS EVERY YEAR PRIOR TO HIRING 'ANNIVERSARY'.
QUERIES APPLY TO EMPLOYER HIRING CDL DRIVERS AND OWNER-OPERATORS.
ENTER NUMBER OF DRIVERS TO QUERY {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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DRIVER(S) INFORMATION
Driver {binding ItemNumber}
Driver's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Select Driver License Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Select Driver License State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Driver License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Re-enter Driver License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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The driver's that your company employs must have an active Clearinghouse Driver's Account in order to consent to be queried.
Below you have an option to add Driver's Clearinghouse Account
Driver's Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Driver's Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Driver's Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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--- TO ADD MORE DRIVERS SELECT Add Driver BELOW
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OWNER-OPERATOR QUERY INFORMATION
Select Driver License Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Select Driver License State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Driver License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Re-enter Driver License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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As Owner-Operator you are required to conduct a query and CONSENT to query from the Driver's Clearinghouse Account.
Select 'Yes' to set up the Driver's Account for a fee of $60 dollars.
Otherwise you will need to set up this account on your own.
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RANDOM DRUG & ALCOHOL TESTING PROGRAM REQUIREMENT
Federal Applications Processor Hoffenmer (processor of this application) is approved Consortium/Third-Party Administrator (C/TPA) offering Random Drug and Alcohol Program membership.
For more information please call the Random Enrollment Hotline: (240) 544-0909
RANDOM DRUG & ALCOHOL PROGRAM FOR EMPLOYERS
Enter the name of Random Program Administrator you're enrolled with: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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RANDOM DRUG & ALCOHOL PROGRAM (OWNER - OPERATORS )
Enter the name of Random Program Administrator you're enrolled with: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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You will be automatically enrolled under FAP Hoffenmer Random Drug & Alcohol Program - a requirement for all Owner-Operators of vehicles above 26,000 GVWR.
Pre-Employment Drug & Alcohol Test:
Owner/Operators are required to adhere to the Pre-Employment regulations for Drug & Alcohol Test.
Add Pre-Employment Test {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Enter Zip Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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RANDOM DRUG & ALCOHOL PROGRAM:
Important: As a self-employed driver (owner-operator, or O/O), you must use one or more consortia/third party administrators (C/TPAs) to manage the drug and alcohol testing program.
O/O must identify their C/TPA(s) in the Clearinghouse which automatically designates them and enables C/TPA to act on their behalf in the Clearinghouse, as required by CFR 382.705(b)(6).
By enrolling in the Random Drug & Alcohol Testing Program your company will use 'Hoffenmer' as your C/TPA (third-party administrator) to manage your Clearinghouse Portal, in fulfillment of CFR 382.705(b)(6).
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Clearinghouse Registration Processing Fee: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Clearinghouse Registration Processing Fee: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total For Queries {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Random Enrollment - Employer Section {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Driver count: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Random Program Fees {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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EXPEDITE {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Expedited requests are completed the following business day.
Otherwise, process of Clearinghouse registration is offered on a first-come first-served basis.
Name of Person Completing This Application: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Signature Only {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If Other, Please Type In Your Job Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Additional Comments: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Asst Agent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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