WARNING: FALSIFICATION WILL RESULT IN DISQUALIFICATION!
DRIVER MINIMUM QUALIFICATIONS
Please click the box beside each requirement you meet.
By typing my name below, I certify that I have read and understand the above driver minimum qualifications and I meet the minimum requirements.
In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all independent contractor positions without regard to race, creed, sex, national origin, age, or the presence of a non-job related medical condition or handicap.
Please check the highest grade completed.
How many drivers licenses have you held in the last three years?
Number of years and months of commercial Tractor-Trailer Driving Experience while licensed as a CDL Class A driver?
Accident Record for the past 5 years.
Have you had any traffic convictions or forfeitures in the past 5 years?
(other than parking violations)
Number of miles driving a TT/ST.
FMCSR 391.21 "Application for Employment" requires a list of previous employers beginning on the date of the submission of the application and going back a minimum of three years. Also, if the applicant has commercial driving experience prior to the three year period, he/she must provide their previous employment information for up to 7 years proir to the minium three year period.
AUTHORIZATION FOR EMPLOYMENT VERIFICATION
Persuant to sections 604 and 607 of the Fair Credit Reporting Act (FCRA) P.L. 91-508, and in regard to my application for driver/contracted services, I hearby authorize and/or allow the release of any and all information, on an as needed basis per Title 49 of the Code of Federal Regulations, including, but not limited to a driver's driving record/MVR/Abstract. I hearby authorize/allow USIS Services, my previous employers, insurance companies, health care providers, educational institutions, law enforcement/state agencies, or references to release any and all information necessary for the purposes of conducting an investigation as required by 49CFR 391.23, and to obtain the drug/alcohol test result information as required by 49CFR 382.405 (f) AND 49CFR 382.413 of the regulations. I authorize, without reservation or time limit, any employer, party or agency contacted by this company or other information provider to furnish the above mentioned information. You and your company are released from all liability which may result from furnishing any of the above information.
By typing my name below, I am signing this application electronically. I agree that my elecronic signature is the legal equivalent of my handwritten signature.
My signature certifies that this application was completed by me and all entries on it and information in it are true and complete to the best of my knowledge persuant to part 391.21 (b) (12).
Commercial Motor Vehicle Safety Act
The Commercial Motor Vehicle Act of 1986 provides for a new set of controls over the drivers of commercial vehicles. The new law applies to all drivers operating vehicles and combinations with a Gross Vehicle Weight Rating over 26,000 pounds, and to any vehicle, regardless of weight, transporting hazardous materials.
The following provisions of this legislation became effective July 1, 1987:
CERTIFICATION BY DRIVER
I hearby certify that I have read and understand the driver provisions of the Commercial Motor Vehicle Safety Act of 1986 which became effective on July 1, 1987.