Application For Motor Carrier Certificate Before The Alabama Public Service Commission (Page 6 of 7) in pdf

Application For Motor Carrier Certificate Before The Alabama Public Service Commission Page 6

APPENDIX “D”

DESCRIPTION OF SAFETY PROGRAM

As the ____________________with/of __________________________________________

(Title)

(Name of Applicant Company)

I am fully familiar with my company’s operations and herein verify that

__________________________________________ has in place a program to ensure substantial

(Name of Applicant Company)

compliance with all applicable safety rules and regulations of the Alabama Public Service

Commission, as well as those of the United States Department of Transportation. In addition to

all other requirements, __________________________________________ specifically

(Name of Applicant Company)

maintains: files on each driver with all required driver forms and information; files on each

vehicle with all required forms including maintenance and safety inspection records; and all

required written records of drivers’ hours.

__________________________________________

(Signature of Company Representative)

__________________________________________

(Printed Name of Company Representative)

Revised 2012

APSC Form No. 14H

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Application For Motor Carrier Certificate Before The Alabama Public Service Commission Page 6