Please complete this section only if you are applying for a position that requires you to hold a Commerical Drivers License.
(this includes pick-up trucks pulling trailers, etc.)
Section 383.21 FMCSR states 'No person who operates a commercial motor vehicle shall at any time have more than one driver's license". I certiö' that I do not have more than one motor vehicle license the information for which is listed below.
"l 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 investigating 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 current/previous employers
- Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected inforrnation 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."