The Application For Driver form is a crucial document that potential drivers must complete when seeking employment with commercial carriers. This form gathers essential information to ensure compliance with federal regulations and to assess the qualifications of applicants. Completing this form accurately is vital, as it helps facilitate the hiring process and ensures that all necessary information is collected.
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The Application for Driver form is an essential document in the hiring process for commercial drivers. It ensures that potential candidates provide all necessary information as mandated by federal regulations. This form collects vital details, including personal identification, contact information, and employment history. Applicants must disclose their driving experience, including types of vehicles operated and any accidents or traffic violations in the past three years. Furthermore, the form requires individuals to verify their eligibility to work in the United States and to provide details about their previous residences. Employers use this information to assess a candidate's qualifications and safety record. It is important for applicants to complete the form in full, as incomplete submissions may not be considered. Additionally, the form emphasizes the need for honesty, as any misleading information can lead to disqualification from employment. Overall, the Application for Driver form serves as a comprehensive tool for both applicants and employers in the transportation industry.
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
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
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.
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
2 TRAILERS
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)
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?
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
ADDRESS
FROM
TO
POSITION HELD
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?
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?
SECOND (MOST RECENT) EMPLOYER
THIRD (MOST RECENT) EMPLOYER
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
Completing the Application for Driver form is an important step in the hiring process. This form requires accurate and thorough information to ensure compliance with federal regulations. After filling out the form, it will be submitted for review by the hiring company.
What is the purpose of the Application For Driver form?
The Application For Driver form is designed to collect essential information from individuals seeking employment as drivers. This form ensures that the employer has all necessary details to assess the applicant’s qualifications and compliance with federal regulations. Carriers can customize the form but must adhere to the requirements outlined in 49 CFR 391.21.
What information do I need to provide on the form?
You must provide personal information such as your name, phone number, email, date of birth, and social security number. Additionally, you will need to detail your residency history, driver’s license information, driving experience, accident record, traffic convictions, and employment history for the past ten years. Educational background and any other qualifications should also be included.
Do I need to list all my previous employers?
Yes, you are required to list all employment for the last three years, and if you have driven a commercial vehicle previously, you must provide employment history for an additional seven years, totaling ten years. Gaps in employment exceeding one month must be explained.
What if I have had no accidents or traffic violations?
If you have had no accidents or traffic violations in the past three years, you can check the appropriate box indicating that there are none. This simplifies the process and confirms your clean driving record.
Can I submit additional sheets if I run out of space?
Yes, if you need more space to provide complete information, you can attach additional sheets. Make sure to clearly label each additional sheet to correspond with the section of the application you are completing.
What happens if I provide false information on the application?
Providing false or misleading information can result in immediate disqualification from employment or termination if you are already hired. It is crucial to ensure that all information is accurate and truthful.
Do I need to sign the application?
Yes, you must sign the application to certify that you have completed it truthfully. Your signature authorizes the employer to conduct background checks and confirms your understanding of the information provided.
What rights do I have regarding the information provided by previous employers?
You have the right to review the information provided by current and previous employers. If you find errors, you can request corrections. Additionally, if you disagree with the accuracy of the information, you can attach a rebuttal statement.
Completing the Application For Driver form can be a straightforward process, but several common mistakes can hinder the application’s acceptance. One prevalent error is failing to provide complete information. Applicants often leave sections blank or do not fill out all required fields. The instruction to "complete in full or it will not be considered" is clear, yet many overlook this critical guideline.
Another frequent issue arises with the listing of previous employment. Applicants sometimes fail to include all relevant positions held over the past three years. The form requires a comprehensive employment history, including any gaps in employment exceeding one month. Neglecting to explain these gaps can lead to confusion and may result in the application being rejected.
Inaccurate information is another significant mistake. When applicants list their driver’s license details or accident records, inaccuracies can lead to disqualification. For instance, omitting a previous license or failing to disclose an accident can create discrepancies that raise red flags during the review process.
Additionally, some applicants do not provide the necessary documentation or additional sheets when required. For example, if the space provided for listing previous licenses or employment history is insufficient, failing to attach supplementary information can delay the application or cause it to be incomplete.
Another common error involves the misunderstanding of legal rights. Applicants must affirm their legal right to work in the United States. Some individuals may mistakenly answer this question without fully understanding their status, which can lead to complications later in the hiring process.
Lastly, neglecting to sign and date the application is a critical oversight. The signature signifies that the applicant has read and understood the terms and conditions outlined in the form. Without this acknowledgment, the application may be deemed invalid, regardless of the completeness of the information provided.
When applying for a driving position, several forms and documents accompany the Application for Driver form. Each of these documents serves a specific purpose, ensuring that both the employer and the applicant have a clear understanding of qualifications and requirements. Here’s a brief overview of some commonly used documents:
Having these documents ready can streamline the hiring process and provide a comprehensive picture of the applicant's qualifications. Each piece plays a vital role in ensuring that the right candidate is selected for the job, ultimately contributing to safety and compliance within the transportation industry.
When filling out the Application for Driver form, it is essential to approach the task with care and attention to detail. Below are some important guidelines to follow, as well as common pitfalls to avoid.
Here are some common misconceptions about the Application For Driver form:
Filling out the Application For Driver form is an important step for anyone seeking employment as a driver. Here are key takeaways to keep in mind:
By following these guidelines, applicants can ensure their application is complete and stands the best chance of being considered for employment.