Clearinghouse Query Consent Form General Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse I hereby provide consent to Sisbro Inc, to conduct a limited query of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse. This includes but not limited to the annual review required by the FMCSA. I understand that if the limited query conducted by (Sisbro Inc) indicates that drug or alcohol information about me exists in the Clearinghouse, FMCSA will not disclose that information to (Sisbro Inc) without first obtaining additional specific consent. Futhermore I understand that if I refuse to provide consent for (Sisbro Inc) to conduct a limited query of the Clearinghouse, (Sisbro Inc) must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA's drug and alcohol program regulations.HiddenUserid Driver Code Drivers Name* Full Name* Date Completed* Signature*