FMCSR'S Receipt for information

This document has been prepared for:  

This individual is currently employed or applying for employment with :   

On this Date:   

I have electronically received the related FMCSR PARTS that relate to my profession. I am aware these are accessible any time of day or night with my Username and Unique Password, and I understand it is my responsibility to review these PARTS as necessary to keep current on my job responsibilities. I also acknowledge that these are provided for my convenience, however they may not be the most current PARTS, and that I can always find the most current PARTS at:

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Signature Certificate
Document name: FMCSR'S Receipt for information
lock iconUnique Document ID: 2ccddd97138d8a60e2c14b99d5a7b104601e5db8
Timestamp Audit
November 30, 2016 12:00 am CDTFMCSR'S Receipt for information Uploaded by Kevin Ertz - IP
August 14, 2017 7:34 pm CDT Document owner has handed over this document to 2017-08-14 19:34:55 -