Cdl Verification Form PDF Details

If you are a truck driver, or are looking into becoming one, you will need to complete a cdl verification form. This document is used to verify that you meet the qualifications necessary to drive a commercial vehicle. In order to complete the form, you will need to provide information about your driving history, medical history, and criminal record. The purpose of the cdl verification form is to ensure that all truck drivers are safe and qualified to operate a commercial vehicle. Completing the form accurately is critical, so make sure you gather all the necessary information before submitting it.

QuestionAnswer
Form NameCdl Verification Form
Form Length1 pages
Fillable?Yes
Fillable fields47
Avg. time to fill out9 min 43 sec
Other namesprevious employment verification form truck driver, dot previous employment verification form pdf, previous employer verification form, dot employment verification form

Form Preview Example

 

 

Employer Verification for CDL Drivers

CITY OF DALLAS

 

 

FORMER EMPLOYEE INFORMATION AND RELEASE

 

 

NAME:

Social Security #

 

(please print)

 

 

hereby authorize

to release the following requested

 

 

(Name of Prior Company)

 

 

information to the CITY OF DALLAS for the purpose of investigation and qualifying me to drive a commercial motor vehicle as required by the U.S. Department of Transportation and Federal Motor Carrier Safety Regulations Parts 382, 391, 392 and 49 CFR Part 40. You are hereby released from any and all liability that may result from furnishing such information. Your quick response to this request will be greatly appreciated.

Signature

 

Date

NOTE - Regulations of the Department of Transportation (49 CFR Part 40) requires your company to provide us with information concerning the named driver’s past drug and alcohol test results, including refusals to be tested.

In the past three years has the previously named applicant ever:

•Tested positive for a controlled substance?

•Tested with an alcohol concentration of 0.04 or higher?

•Refused to submit to a DOT required drug and/or alcohol test, including a verified adulterated or substituted result?

•Had any other violations of DOT drug and/or alcohol testing regulations?

•Had any violations of drug and/or alcohol regulations from previous employers?

•Did a previous employer report a drug and alcohol rule violation to you?

YES

YES

YES

YES

YES

YES

NO

NO

NO

NO

NO

NO

For any YES answer, please provide documentation of the previously named applicants successful completion of DOT return-to-duty requirements (including follow-up tests).

FORMER EMPLOYEE WORK HISTORY

Employed from

 

to

 

as a

 

at average or salary of

Did former employee drive a motor vehicle for you?

YES

NO

If yes please indicate specific type of vehicle(s) and time driven for you:

 

Tractor/Semi-Trailer; years

 

months

Straight Truck; years

 

months

Other (Please Specify)

 

years

 

months

Any special equipment driven? (such as; Doubles, Tanker, Flat Bed, etc.) Please list:

Reason for leaving your employ: Discharged Resigned

Is former employee eligible for re-hire at your company?

Laid Off Other

YES NO

Your Name

 

Title

Your Signature:

Please forward response as indicated as soon as possible. Thank You

REVISED 5/19/2004

Telephone #:

 

______

______ Date:

 

______

MAIL OR FAX TO: CITY OF DALLAS

 

 

ATTN:

 

 

1500

Marilla 6AN

 

Dallas, Texas 75201

Fax # (214)

 

_______

Any questions, call (214)

 

_____________

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In an effort to complete this form, make certain you provide the necessary information in each and every field:

1. For starters, once filling out the cdl employment verification, begin with the part containing following blank fields:

Stage number 1 in filling in driver employment verification form

2. Right after filling in the previous section, head on to the subsequent step and enter the essential details in all these blanks - Tested positive for a controlled, YES, YES, Did a previous employer report a, YES, For any YES answer please provide, at average or salary of, as a, Did former employee drive a motor, YES, If yes please indicate specific, TractorSemiTrailer years, Other Please Specify, months, and Straight Truck years.

driver employment verification form writing process described (portion 2)

It's easy to make errors while filling out your YES, and so make sure that you go through it again prior to when you send it in.

3. Completing Your Name Your Signature Please, Revised, MAIL OR FAX TO CITY OF DALLAS Fax, and ATTN Marilla AN Dallas Texas is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Writing segment 3 in driver employment verification form

Step 3: Before moving forward, ensure that all blanks were filled in the proper way. Once you’re satisfied with it, click on “Done." Try a 7-day free trial option with us and obtain immediate access to cdl employment verification - downloadable, emailable, and editable inside your personal cabinet. We do not share any details you provide when filling out forms at our website.

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