Stony Point, NC | Jefferson, Georgia | Jacksboro, Tenn

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Employee Application Form

Accident Record For Past 3 Years: If None, Write None or NA

Driving Experience and Class Of Equipment

Tractor and Semi-Trailer

List Employment History

Application Addendum

Federal Motor Carrier Safety Regulations ยง40.25 (j) The Employer must ask the employee whether he or she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the employee applied for


Pursuant to 49CFR, part 391.23 (j), you have the following rights regarding investigative information 1. The right to review information provided by previous employers. 2. The right to have errors in the information corrected by the previous and for that

To Be Read And Signed By Applicant

This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to make such investigations and inquire of my personal, employment, financial or medical