Get Application For Driver Form

Get Application For Driver Form

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.

To begin your journey towards becoming a driver, please fill out the form by clicking the button below.

Structure

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.

Application For Driver Preview

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

Document Data

Fact Name Description
Governing Law The application is governed by the Federal Motor Carrier Safety Regulations, specifically 49 CFR 391.21.
Required Information Applicants must provide personal details, including name, contact information, and Social Security number, among other required information.
Residency History The application requires a history of residency for the past three years, including addresses and duration at each location.
Driving Record Applicants must disclose their driving history, including any accidents, violations, and previous licenses held for the past three years.
Employment History All applicants must list their employment for the last three years, including any gaps in employment and reasons for leaving previous jobs.

How to Use Application For Driver

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.

  1. Begin with your personal information: Fill in your first, middle, and last name, phone number, email address, date of birth, and social security number. Make sure to include the date you are applying and the position you are applying for.
  2. Confirm your eligibility: Indicate whether you have the legal right to work in the United States by checking the appropriate box.
  3. Provide your residency history: List your previous three years of residency, including street address, city, state, and zip code. Include the number of years you lived at each address.
  4. Complete the license information: List all driver's licenses you have held in the past three years, including the state, license number, type/class, endorsements, and expiration date. Certify that you do not hold more than one motor vehicle license.
  5. Detail your driving experience: Include the class of equipment you have driven, the dates of operation, and the approximate total miles driven for each type of vehicle.
  6. Report any accidents: If applicable, list any accidents you have been involved in over the past three years, including the date, nature of the accident, and any fatalities or injuries.
  7. List traffic convictions: Provide details of any traffic convictions or forfeitures from the past three years, excluding parking violations. Include the date, violation, state, and penalty.
  8. Employment history: Fill in your employment history for the last three years, starting with your most recent employer. Include the employer's name, phone number, address, position held, dates of employment, reason for leaving, and salary. Explain any gaps in employment.
  9. Education: List your educational background, including the school name, location, course of study, and whether you graduated.
  10. Other qualifications: Include any additional qualifications that may be relevant to the position.
  11. Read and sign: Carefully read the authorization section and sign the application, ensuring that all information provided is accurate and complete.

Key Facts about Application For Driver

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.

Common mistakes

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.

Documents used along the form

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:

  • Background Check Authorization Form: This document allows the employer to conduct a background check on the applicant. It typically includes consent for checking criminal history, driving records, and other relevant information that may affect employment eligibility.
  • Medical Examination Report: Required by the Department of Transportation, this report confirms that the applicant meets the health standards necessary for operating a commercial vehicle. A certified medical examiner must complete it.
  • Driving Record Abstract: This document provides a summary of the applicant's driving history, including any violations or accidents. Employers use it to assess the applicant's driving behavior and safety record.
  • Drug and Alcohol Testing Consent Form: This form gives consent for the employer to conduct drug and alcohol testing, as required by federal regulations for safety-sensitive positions. It outlines the testing process and consequences of refusal.
  • Employment Verification Form: This form is used to verify the applicant's previous employment history. It typically requires the applicant to provide contact information for former employers, allowing the new employer to confirm job titles, dates of employment, and reasons for leaving.
  • Reference Check Form: This document allows the employer to contact references provided by the applicant. It typically includes questions about the applicant's work ethic, reliability, and overall performance in previous roles.

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.

Similar forms

  • Employment Application Form: Similar to the Application For Driver form, this document gathers essential information about an applicant's work history, qualifications, and personal details. It is often required by various employers across different industries.
  • Job Application for Federal Employment (SF-171): This federal form is used to apply for jobs within the government. It collects similar personal and employment history information, ensuring that all applicants meet federal hiring standards.
  • Background Check Authorization Form: This document is used to obtain permission from an applicant to conduct a background check. Like the driver application, it emphasizes the importance of accurate information and consent.
  • Motor Vehicle Record Request Form: This form is used to request an individual’s driving history from the Department of Motor Vehicles. It shares similarities in that it requires personal identification and is crucial for evaluating driving qualifications.
  • Release of Information Form: Often used in various employment contexts, this form allows employers to contact previous employers or references. It parallels the driver application by emphasizing the need for transparency and consent in sharing personal information.
  • Health Questionnaire: This document collects information about an applicant's health status, particularly in roles requiring physical capability. It shares the same goal of ensuring that applicants meet specific criteria relevant to their job performance.
  • Driver's License Application: This form is specifically for obtaining a driver's license and requires similar personal information, such as identification and residency history, to ensure compliance with state regulations.

Dos and Don'ts

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.

  • Do ensure all sections are completed: Every part of the application must be filled out completely. Incomplete applications may be rejected.
  • Do provide accurate information: Ensure that all details, including your employment history and driving experience, are truthful and precise.
  • Do double-check for errors: Review the application for any typos or mistakes before submission. Small errors can lead to misunderstandings.
  • Do sign and date the application: Your signature indicates that you affirm the accuracy of the information provided.
  • Don't leave out previous employment: Failing to list all relevant jobs from the past three years can result in disqualification.
  • Don't provide misleading information: Any attempt to deceive can lead to severe consequences, including termination if hired.
  • Don't forget to attach additional sheets if necessary: If you need more space for your driving experience or employment history, include additional sheets as required.
  • Don't skip the legal work eligibility question: Be sure to answer whether you have the legal right to work in the United States, as this is crucial for employment.

Misconceptions

Here are some common misconceptions about the Application For Driver form:

  1. All carriers must use the same form. Many believe that there is a single, standardized form that all carriers must use. In reality, carriers can create their own forms as long as they include the required information.
  2. Only commercial drivers need to fill out this application. Some think this application is only for commercial drivers. However, it applies to anyone applying for a driving position, regardless of the vehicle type.
  3. Previous employment history is optional. Many applicants assume they don’t need to provide their full employment history. In fact, it is mandatory to list all relevant employment for the past three years.
  4. Gaps in employment don’t need to be explained. Some believe they can skip explaining gaps in their employment history. However, any gap longer than one month must be clarified.
  5. Only accidents involving fatalities need to be reported. There is a misconception that only serious accidents need to be disclosed. All accidents in the past three years, regardless of severity, must be reported.
  6. It’s okay to provide false information. Some applicants think they can embellish their qualifications or experience. This can lead to disqualification or termination if discovered.
  7. Driver’s licenses from other states don’t need to be listed. Many believe they only need to list their current license. All licenses held in the past three years must be included.
  8. Educational qualifications are not important. Some applicants overlook the education section. However, providing accurate educational information can enhance their application.
  9. The application doesn’t need to be signed. There’s a belief that the application can be submitted without a signature. A signed application is essential for it to be considered valid.
  10. Employers will not contact previous employers. Some applicants think that their previous employers won’t be contacted. In fact, employers often verify the information provided in the application.

Key takeaways

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:

  • Complete the Form Fully: Ensure that all sections of the application are filled out completely. Incomplete applications may not be considered.
  • Provide Accurate Information: Double-check all personal details, including your name, contact information, and Social Security number, for accuracy.
  • Legal Right to Work: Confirm that you have the legal right to work in the United States. This is a mandatory question on the form.
  • Employment History: List all employment for the past three years. If you have driven commercially before, include an additional seven years of history.
  • Driving Experience: Detail your driving experience, including types of vehicles operated and total miles driven.
  • Accident Record: Report any accidents you were involved in over the past three years. If none, check the appropriate box.
  • Traffic Violations: Disclose any traffic convictions or forfeitures in the past three years, excluding parking violations.
  • Education and Qualifications: Include your educational background and any additional qualifications relevant to the driving position.
  • Sign and Date: Remember to sign and date the application, certifying that all information provided is true and complete.

By following these guidelines, applicants can ensure their application is complete and stands the best chance of being considered for employment.