Certification Of Violations Form PDF Details

The Certification of Violations form serves a critical function within the framework of ensuring road safety and compliance with federal regulations governing motor vehicle operation, particularly for commercial drivers. It is divided into two main sections, with the first part requiring drivers to disclose any traffic violations—excluding parking infractions—that they have been convicted of, or have forfeited bond or collateral for, within the preceding 12 months. It mandates a comprehensive listing of such incidents, including the date, nature of the offense, location, and the type of vehicle operated. Crucially, this certification affirms whether or not the driver has maintained a clean record over the stated period. In the second part, an annual review of the driver’s record is conducted in line with Section 391.25 of the Federal Motor Carrier Safety Regulations. This review is thorough, taking into account the driver’s history of violations, accidents, and compliance with safety regulations, including any involvement with hazardous materials. Final determinations made here assess whether a driver meets the minimum safety standards to continue operating a motor vehicle or faces disqualification based on the criteria set out in Section 391.15. The form, requiring signatures from both the driver and a reviewing official, underscores the emphasis on accountability and continuous evaluation of drivers' adherence to safety standards. This document, once completed, becomes a part of the driver’s qualification file, retaining its relevance for three years from the date of execution before it can be purged.

QuestionAnswer
Form NameCertification Of Violations Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdriver certification of violations, certification of violations annual review of driving record, why certification of violations hpd, certificate of violation

Form Preview Example

MOTOR VEHICLE DRIVER'S CERTIFICATION OF

VIOLATIONS AND ANNUAL REVIEW OF DRIVING

RECORD

SECTION I

MOTOR VEHICLE

DRIVER CERTIFICATION

OF VIOLATIONS

I certify that the following is a true and complete list of traffic violations (other than parking violations) which I have been convicted or forfeited bond or collateral during the past 12 months.

Date

 

Offense

 

Location

 

Type of Vehicle Operated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If no violations are listed above, I certify that I have not been convicted or forfeited bond or collateral on account of any violation required to be listed during the past 12 months.

(Date of Certification)

First Name

Last Name

 

 

(Driver's Signature)

 

 

 

 

 

(Motor Carrier's Name)

 

 

 

(Motor Carrier's Address)

 

 

 

 

 

(Motor Carrier's City/State/Zip)

 

 

 

 

 

(Reviewed by: Signature)

 

 

 

(Title)

SECTION II

ANNUAL REVIEW OF DRIVING RECORD 391.25

Driver's Information:

This day I reviewed the driving record of the above named driver in accordance with 391.25 of the Federal Motor Carrier Safety Regulations. I considered any evidence that the driver has violated applicable provisions of the Federal Motor Carrier Safety Regulations and the Hazardous Materials Regulations. I considered the driver's accident record and any evidence that he/she has violated laws governing the operation of motor vehicles, and gave great weight to violations, such as speeding, reckless driving and operating under the influence of alcohol or drugs, that indicated that the driver has exhibited a disregard for safety of the public. Having done the above, I find that

[] the driver meets the minimum requirements for safe driving, or

[] the driver is disqualified to drive a motor vehicle pursuant to 391.15.

Date of Review

Motor Carrier's Name

Reviewed by: Signature and Title

This document must be maintained in the driver's qualification file and may be purged after 3 years from date of execution.

How to Edit Certification Of Violations Form Online for Free

Using PDF forms online is certainly a piece of cake using our PDF tool. Anyone can fill out motor vehicle driver's certification of violations here and try out several other functions we provide. Our editor is consistently developing to provide the very best user experience possible, and that's because of our resolve for continuous enhancement and listening closely to feedback from customers. All it requires is just a few basic steps:

Step 1: Press the "Get Form" button in the top area of this webpage to get into our PDF editor.

Step 2: With our state-of-the-art PDF file editor, you are able to accomplish more than simply fill out blank fields. Try all of the functions and make your docs appear professional with customized textual content put in, or modify the file's original input to perfection - all comes with an ability to insert your personal photos and sign the document off.

This document needs specific details; in order to guarantee accuracy, please be sure to take note of the tips further on:

1. When filling in the motor vehicle driver's certification of violations, be sure to complete all necessary blank fields in the associated area. This will help to hasten the work, enabling your details to be processed efficiently and appropriately.

motor vehicle drivers certification of violations conclusion process described (stage 1)

2. Right after filling in the last step, go on to the next stage and fill in the essential details in these fields - This day I reviewed the driving, the driver meets the minimum, the driver is disqualified to, Date of Review, Motor Carriers Name, and Reviewed by Signature and Title.

the driver meets the minimum, This day I reviewed the driving, and Reviewed by Signature and Title of motor vehicle drivers certification of violations

Those who work with this form generally make some mistakes while filling in the driver meets the minimum in this area. You should go over whatever you type in right here.

Step 3: Before moving on, check that form fields have been filled out as intended. When you’re satisfied with it, press “Done." Acquire the motor vehicle driver's certification of violations once you sign up for a free trial. Readily use the pdf document within your personal account page, with any modifications and changes conveniently synced! FormsPal is committed to the personal privacy of our users; we ensure that all personal data going through our tool is confidential.

Certification Of Violations Form isn’t the one you’re looking for?

Related Documents