Dot requires that the all applicants wishing to drive a commercial motor vehicle must provide the following information on all previous during the preceding 3 years. You must give the same information to whom you have a driven a commercial motor vehicle for an additional 7 years.
You are required to list the complete address-street number and name, city, state and zip code. Any gaps in employment and/or unemployment must be explained.
TO BE READ AND SIGNED BY APPLICANT
I authorize 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 destination. I hereby release employers, school, health care providers and their employees from all laibility in responding to inquires and releasing information in connection with my application.
I understand that false or misleading information given in my application or during an interview may result in discharge. I also understand that I am required to abide by all rules and regulations of the company.