APPLICATION FOR DRIVER QUALIFICATION

(AS REQUIRED BY §391 FMCSR (DOT SAFETY REGULATIONS) 

 Applicants are considered for job without regard to race, color, creed, age, sex, handicap, or national origin.

This certifies that I completed this application and all entries and information is true and correct to the best of my knowledge. 

I authorize this company to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) 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 interviews may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. 

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigation my safety performance history as required by 49 CFR 391.23(d) and (e). 

I understand that I have the right to: 

  • Review information provided by previous employers 

  • Have errors in the information corrected by previous employers and for those previous employers to re-send 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. 

 

I understand that I am required to abide by all rules of this company, laws of the states, and regulations of the FMCSA. 

Driver's Signature

© 2019 by Master Group - Jonesboro, AR. Proudly created with Wix.com

B & P

ENTERPRISES