All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address and phone number
Commercial motor vehicle driver applicants* shall provide an additional 7 years of employer information for whom the applicant operated intrastate or interstate commercial vehicles. (List employers in reverse order, starting with most recent/current.)
* Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers)including the driver, or any size vehicle used to transport hazardous materials requiring placarding.
^ Federal Motor Carrier Safety Regulations (FMCSR) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has GVWR of 10,001 lbs or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and used to transport hazardous materials requiring placarding.
This certifies that this application was completed by me, and that all entries and information included are true and complete to the best of my knowledge.
I understand that information provided regarding current and /or previous employers may be used, and those employers will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:
Review information provided by previous employers.
Have errors corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
Have a rebuttal statement attached to the alleged erroneous information, if the previous employers and I cannot agree on the accuracy of the information.