Application For Driver PDF Details

If you are looking for a job, one that you may want to consider is becoming a driver. There are many opportunities available for drivers, and the demand for them is high. In order to become a driver, you will need to complete an application. This guide will help you through the process of completing an application for driver. Included in this guide are the steps you will need to take and what information you will need to have on hand.

The listing includes information regarding the application for driver. You can learn its size, the average time to prepare the form, the fields you'll have to fill in, and so forth.

QuestionAnswer
Form NameApplication For Driver
Form Length4 pages
Fillable?Yes
Fillable fields181
Avg. time to fill out37 min 16 sec
Other namesblank cdl driver application, truck driver application pdf, driver application form pdf, pdffiller applicationfor commercial driver

Form Preview Example

This is an example driver employment application. Carriers do not need to use this exact form, but must have a completed and signed employment application for all drivers that contains the information listed in 49 CFR 391.21.

DRIVER EMPLOYMENTAPPLICATION

[COMPANY NAME, ADDRESS, PHONE NUMBER, AND EMAIL]

An Equal Opportunity Employer

COMPLETE IN FULL OR IT WILL NOT BE CONSIDERED.

 

 

 

 

APPLICANT INFORMATION

 

 

 

 

 

 

 

 

 

 

MIDDLE

 

 

 

LAST

 

 

 

 

 

FIRST NAME

 

 

NAME

 

 

 

NAME

 

 

 

 

 

PHONE

 

 

EMAIL

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

SOCIAL SECURITY #

 

 

 

 

 

 

 

 

DATE OF

 

POSITION

 

 

 

 

 

DATE AVAILABLE

 

 

 

APPLICATION

 

APPLIED FOR

 

 

 

 

 

FOR WORK

 

 

 

Do you have legal right to work in the United States?

YES NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS THREE YEARS RESIDENCY

 

 

 

 

 

 

 

 

 

Attach additional sheet if more space is needed

 

 

 

 

 

 

 

 

 

 

 

 

 

ZIP

# OF YEARS

 

STREET

 

 

 

 

CITY

 

 

STATE

 

CODE

AT ADDRESS

CURRENT

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS

 

 

 

 

 

 

 

 

 

 

 

 

 

LICENSE INFORMATION

No person who operates a commercial motor vehicle shall at any time have more than one driver’s license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheets if needed.

STATE

LICENSE #

TYPE/CLASS

ENDORSEMENTS

EXPIRATION DATE

PREVOIUSLY HELD LICENSES

DRIVING EXPERIENCE

CLASS OF

 

TYPE OF EQUIPMENT (VAN, TANK, FLAT, ETC.)

 

DATE FROM

 

DATE TO

APPROX # OF

EQUIPMENT

 

 

 

MILES (TOTAL)

STRAIGHT

 

 

 

 

 

 

 

TRUCK

 

 

 

 

 

 

 

TRACTOR &

 

 

 

 

 

 

 

SEMI-TRAILER

 

 

 

 

 

 

 

TRACTOR &

 

 

 

 

 

 

 

2 TRAILERS

 

 

 

 

 

 

 

TRACTOR &

 

 

 

 

 

 

 

TANKER

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 1 of 4

ACCIDENT RECORD FOR THE PAST 3 YEARS

Attach additional sheet if more space is needed. Check this box if none

DATES (List most recent first)

NATURE OF ACCIDENT (Head-on, rear-end, upset, etc.)

CHEMICAL SPILLS

# FATALITIES # INJURIES (Y/N)

TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)

Attach additional sheet if more space is needed. Check this box if none

DATE CONVICTED (Month/Year)

VIOLATION

STATE OF

VIOLATION PENALTY (Forfeited bond, collateral and/or points)

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?

YES

NO

If yes, explain

 

 

Has any license, permit, or privilege ever been suspended or revoked?

YES

NO

If yes, explain

 

 

EMPLOYMENT HISTORYZ

The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.

Start with the last or current position, including any military experience, and work backwards (attach separate sheets if necessary). You are required to list the complete mailing address, including street number, city, state, zip; and complete all other information.

CURRENT (MOST RECENT) EMPLOYER

 

 

 

 

 

 

NAME

 

 

 

 

 

PHONE

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM

 

 

 

TO

 

POSITION HELD

 

 

MO/YR

 

 

 

MO/YR

 

REASON FOR LEAVING

 

 

 

 

 

SALARY

 

EXPLAIN ANY GAPS IN

 

 

 

 

 

 

 

EMPLOYMENT (Include

 

 

 

 

 

 

 

month/year & reason)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 4

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

 

 

 

 

YES

NO

 

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated

 

 

 

 

 

 

mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECOND (MOST RECENT) EMPLOYER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM

 

 

TO

 

 

 

 

 

 

POSITION HELD

 

 

 

 

MO/YR

 

 

MO/YR

 

 

 

 

 

 

REASON FOR LEAVING

 

 

 

 

 

 

 

SALARY

 

 

 

 

 

EXPLAIN ANY GAPS IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYMENT (Include

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

month/year & reason)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

 

 

 

 

YES

NO

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated

 

 

 

 

 

 

mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THIRD (MOST RECENT) EMPLOYER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM

 

 

TO

 

 

 

 

 

 

POSITION HELD

 

 

 

 

MO/YR

 

 

MO/YR

 

 

 

 

 

 

REASON FOR LEAVING

 

 

 

 

 

 

 

SALARY

 

 

 

 

 

EXPLAIN ANY GAPS IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYMENT (Include

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

month/year & reason)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

 

 

 

 

YES

NO

 

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated

 

 

 

 

 

 

mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EDUCATION

 

 

 

 

 

 

 

 

 

SCHOOL

 

NAME & LOCATION

 

 

COURSE OF STUDY

YEARS

GRADUATE

DETAILS

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETED

Y

N

 

 

 

 

High School

 

 

 

 

 

 

 

 

 

 

 

 

 

College

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER QUALIFICATIONS

Please list any other qualifications that you have and which you believe should be considered.

Page 3 of 4

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company.

I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to:

Review information provided by current/previous employers;

Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and

Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.

Applicant Signature

Applicant Name (printed)

Date

Page 4 of 4

How to Edit Application For Driver Online for Free

The PDF editor was made with the intention of making it as effortless and easy-to-use as possible. The following actions will help make filling up the driver hiring application fillable ms excel simple.

Step 1: You can select the orange "Get Form Now" button at the top of this page.

Step 2: As soon as you have entered the driver hiring application fillable ms excel edit page, you'll discover all actions it is possible to take concerning your file at the top menu.

The PDF template you desire to complete will consist of the following areas:

portion of spaces in driver application form pdf

In the PREVIOUS, PREVIOUS, LICENSE INFORMATION, No person who operates a, ENDORSEMENTS, TYPE/CLASS, LICENSE #, EXPIRATION DATE, CLASS OF EQUIPMENT STRAIGHT TRUCK, PREVOIUSLY HELD LICENSES, DRIVING EXPERIENCE, TYPE OF EQUIPMENT (VAN, DATE FROM, DATE TO, and APPROX # OF MILES (TOTAL) field, jot down your details.

PREVIOUS, PREVIOUS, LICENSE INFORMATION, No person who operates a, ENDORSEMENTS, TYPE/CLASS, LICENSE #, EXPIRATION DATE, CLASS OF EQUIPMENT STRAIGHT TRUCK, PREVOIUSLY HELD LICENSES, DRIVING EXPERIENCE, TYPE OF EQUIPMENT (VAN, DATE FROM, DATE TO, and APPROX # OF MILES (TOTAL) in driver application form pdf

You should provide the required information within the CLASS OF EQUIPMENT STRAIGHT TRUCK, OTHER, and Page 1 of 4 area.

part 3 to entering details in driver application form pdf

The space ACCIDENT RECORD FOR THE PAST 3, Attach additional sheet if more, DATES (List most recent first), NATURE OF ACCIDENT (Head-on, # FATALITIES # INJURIES, CHEMICAL SPILLS (Y/N), TRAFFIC CONVICTIONS AND, Attach additional sheet if more, DATE CONVICTED (Month/Year), VIOLATION, STATE OF VIOLATION, and PENALTY (Forfeited bond will be where you can indicate all parties' rights and obligations.

part 4 to completing driver application form pdf

Finalize by taking a look at the following sections and completing them accordingly: Have you ever been denied a, ☐ YES ☐ NO, Has any license, ☐ YES ☐ NO, EMPLOYMENT HISTORYZ, The Federal Motor Carrier Safety, CURRENT (MOST RECENT) EMPLOYER, NAME, ADDRESS, POSITION HELD, PHONE, FROM MO/YR, and TO MO/YR.

driver application form pdf Have you ever been denied a, ☐ YES ☐ NO, Has any license, ☐ YES ☐ NO, EMPLOYMENT HISTORYZ, The Federal Motor Carrier Safety, CURRENT (MOST RECENT) EMPLOYER, NAME, ADDRESS, POSITION HELD, PHONE, FROM MO/YR, and TO MO/YR blanks to insert

Step 3: Hit the "Done" button. It's now possible to upload the PDF form to your electronic device. Besides, you can easily send it through electronic mail.

Step 4: Produce duplicates of the template. This will save you from potential concerns. We do not check or reveal the information you have, as a consequence be assured it is safe.

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