Mcs 21 Form PDF Details

Understanding the intricacies of the MCS-21 form is essential for those involved in the employment process of commercial drivers. The form serves a critical purpose in promoting road safety by allowing employers to verify if a prospective commercial driver's license (CDL) holder has a history of positive alcohol or controlled substance test results. This verification process is in alignment with the regulations set forth by the Texas Department of Public Safety, ensuring that only drivers who comply with the state law's rigorous standards are behind the wheel. The process stipulated by the MCS-21 form requires the CDL holder's consent through their signature, highlighting the importance of transparency and accountability in the commercial driving sector. Moreover, the form specifies the method of submission, including delivery, mail, or fax to the Motor Carrier Bureau, and even offers an option for electronic submission via a notarized Electronic Mail Verification Form (MCS-32), ensuring accessibility and ease for all parties involved. This approach not only reinforces the commitment to safety on the roads but also streamlines the process of verifying a driver's eligibility, making it a pivotal tool in the hiring process within the transportation industry.

QuestionAnswer
Form NameMcs 21 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesGuadalupe, MCS-21, txdps mcs 9, tx

Form Preview Example

RELEASEOFCDLHOLDER’SREPORTED

POSITIVEALCOHOLORCONTROLLED

SUBSTANCETESTRESULTS

Use this form to obtainthe CDL holder’s reported positive alcohol or controlled

substance test results information.

Thisformshould ONLY beusedifyouwishtoinquirewhetherornotaprospectivedriver(CDLHolder)

hashadapositivealcoholorcontrolledsubstancetestresultreportedtotheTexasDepartmentof

PublicSafetyincompliancewithstatelaw.

THISFORMIS NOT REQUIREDFOR REPORTING APOSITIVE

ALCOHOLORCONTROLLEDSUBSTANCETEST.

1. Thisformmustbecompletedinfullandincludethe

TexasDepartmentofPublicSafety

driver’soriginal signature.

MotorCarrierBureau,MSC#0521

 

6200Guadalupe,BuildingP

2. Deliver,mailorFAXthecompletedformto:

Austin,Texas78752-4019

 

Facsimile:512-424-5310

I,

,

Print Name of CDL Holder

of

,

PrintAddress of CDL Holder

authorizereleaseoftheCDLholder’sreportedpositivealcoholorcontrolledsubstancetestresultsreportedunderstatelaw

to

,

 

Print Name

of

,

 

PrintAddress

DriverLicenseNumber _____________________________ State ____________ DateofBirth _________________

SignatureofDriver

Date

X

 

If you wish to request and receive this information by electronic mail, submit a completed and notarized Electronic Mail Verification Form (MCS-32), available at the following web address: http://www.txdps.state.tx.us/forms/index.htm.

MCS-21 (Rev 9/10)