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| Application Addendum for Drivers of Automobiles, Vans and Light Trucks
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Here is some suggested wording to use when hiring commercial drivers:
Our business considers the safe operation of vehicles critical to our success.
Please complete the following so that we can help assure that you are
qualified to operate our vehicles.
Then make sure the form includes:
- Applicant’s name
- Applicant’s telephone number
- Applicant’s current address
- Applicant’s previous addresses, if living at current address for less than three years
- Driver’s licenses — list all licenses held in past 3 years and indicate those that are current, including the issuing state, the license number, the class of license, any endorsement and the expiration date
- Have you ever been denied, or had revoked or suspended, any license, permit or privilege to operate a motor vehicle? Yes or No
- If you answered Yes to the above question, give details
- List any traffic violation convictions and forfeitures for past 3 years (other than parking), including the location (city & state), the date, the charge and the penalty
- Driving experience, including dates and total miles driven for:
- Automobile
- Van
- Pickup
- Truck/Tractor
- Bus
- Other
- Accident record for past 3 years, including date, location, nature of accident, fatalities and injuries
- Have you ever been convicted of a felony? Yes or No
- Have you ever been refused bond? Yes or No
- If you answered Yes to either question above, provide details
- List special training related to transportation
This next section should be read, signed and dated by applicant:
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I understand that, if hired, any misrepresentation of information in this application is cause for immediate dismissal. I authorize this company to investigate my background to ascertain all information of concern to my employment history, whether same is of record or not, and release those providing such information from all liability for any damages resulting from furnishing this information. Further, I understand that I may be asked to demonstrate my ability to perform the essential functions necessary to complete the job and, if offered the job, that it may be conditioned on results of a physical examination, and testing for the use of controlled substances and alcohol misuse.
COPYRIGHT ©2005, ISO Services Properties, Inc.
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