<%@ Page Title="" Language="vb" AutoEventWireup="false" MasterPageFile="~/Driver/application/Application.Master" CodeBehind="DACHConsent.aspx.vb" Inherits="Web.DACHConsent" %>
<%@ MasterType VirtualPath="Application.Master" %>
<%@ Register Src="~/_include/controls/Signature.ascx" TagPrefix="ctrl" TagName="Signature" %>
<asp:Content ID="Content1" ContentPlaceHolderID="phContent" runat="server">

    <section id="consent">
        <h1>General Consent for Limited Queries of the FMCSA Drug & Alcohol Clearinghouse</h1>

        <p>I, <span class="autofilled"><%= Master.app.applicantName %></span>, hereby provide consent to 
    <span class="autofilled"><%= Master.app.clientName %></span> and its agents to conduct limited queries 
    of the Federal Motor Carrier Safety Administration Commercial Driver’s License Drug and Alcohol 
    Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me 
    exists in the Clearinghouse. I hereby consent to unlimited queries of the Clearinghouse by 
    <span class="autofilled"><%= Master.app.clientName %></span> and its agent and this consent is valid 
    for the duration of my employment with <span class="autofilled"><%= Master.app.clientName %></span>.</p>

        <p>I understand that if the limited query conducted by <span class="autofilled"><%= Master.app.clientName %></span> 
    or its agents indicates that drug or alcohol violation information about me exists in the Clearinghouse, 
    FMCSA will not disclose that information to <span class="autofilled"><%= Master.app.clientName %></span> 
    or its agents without first obtaining additional specific electronic consent from me.</p>

        <p>I further understand that if I refuse to provide consent for <span class="autofilled"><%= Master.app.clientName %></span> 
    or its agents to conduct a limited query of the Clearinghouse, <span class="autofilled"><%= Master.app.clientName %></span> 
    must prohibit me from performing safety-sensitive functions, including driving a commercial motor 
    vehicle, as required by FMCSA’s drug and alcohol program regulations.</p>

        <br />

        <p>Employee Name: <span class="autofilled"><%= Master.app.clientName %></span></p>
        <p>Commercial Driver's License Number: <span class="autofilled"><%= DLNumber %></span> State of Issuance: <span class="autofilled"><%= DLState %></span></p>
        
        <ctrl:Signature ID="signatureConsent" runat="server" ContextId="consent" />

    </section>

</asp:Content>
