Driver Application Form

Download a blank fillable Driver Application Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Driver Application Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Print Form
888-SAY-VANS
DRIVER
APPLICATION FORM
NAME__________________________________________________________________________________________
Last
First
Middle
________________________________________ (________)________________________ ____________________________ _______________________
Social Security Number
Phone Number
Date of Birth
Hire Date
ADDRESS_____________________________________________________________________ _________________
Street
City
State
Zip
Number of Years
PAST 3 YEAR _________________________________________________________________ _________________
RESIDENCY
Street
City
State
Zip
Number of Years
_________________________________________________________________ _________________
Street
City
State
Zip
Number of Years
TO BE READ AND SIGNED BY APPLICANT
I authorize you 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 decision. (Generally, inquiries regarding medical history will be made only
if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other
persons from all liability in responding to inquiries 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 to abide by all rules and regulations of the Company.
“I 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
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.”
Signature
Date
______________________________________________________________
________________________________
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.
Are there currently any felony charges against you?:
_____Yes _____No If “Yes” Date______________
Have you ever been convicted of any crime?:
_____Yes _____No If “Yes” Date______________
Have you ever been known by any name other than the one on this application?: _____Yes _____No If “Yes” print name below.
_______________________________________
Are you:______ a U.S. Citizen, ______ a Lawful Resident, or ______ otherwise authorized to work in the United States?

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 3