Section 383.21 FMCSR states:
"No person who operates a commercial motor vehicle shall, at any
one time, have more than one drivers license."
Applicants that desire to drive in interstate commerce must provide
the following information on all employers during the previous three
years. You must give the same information for all employers you have
driven a commercial motor vehicle for the seven years prior to the
initial years (total of ten years employment record)
Must list the complete mailing address: street number and name, city,
state and zip code.
To Be Read And Signed By Applicant
I authorize you to make sure investigations and inquires to my
personal, employment, financial or medical history and other related
matters as may be necessary in arriving as an employment decision.
(Generally, inquires regarding medical history will be made only if
and after a conditional offer of employment is has been extended.) I
herby release employers, schools, health care providers and other
persons from liability in responding to inquires 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 understand, also, that I am required t abide by all rules
adn regulations of the Company.
"I understand the information I provide regarding my current and/or
previous 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(d) and (e). I understand that O
have the right to:
- Review information provided by current/previous employers
Have errors in the information corrected by previous employers and
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."