Request for Driver's Safety Performance History
This file is a request form for obtaining the driver's safety performance history. It includes essential details for previous employers to provide information about the driver's past records. Drivers and carriers can use this form to ensure accurate and compliant reporting when seeking employment.
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How do I fill this out?
To fill out this form, start by providing your personal information in the designated sections. Ensure you accurately input your previous employer's information and any relevant safety performance records. Review your entries before signing and submitting the form to ensure all information is correct and complete.

How to fill out the Request for Driver's Safety Performance History?
1
Read the instructions carefully before starting.
2
Fill in your personal and employment details accurately.
3
Provide all necessary information regarding drug and alcohol tests.
4
Ensure to review the completed form for errors.
5
Sign and date the form before submission.
Who needs the Request for Driver's Safety Performance History?
1
Commercial drivers needing to provide safety records.
2
Employers reviewing a candidate's safety history for hiring.
3
Companies managing driver compliance with federal regulations.
4
Regulatory agencies verifying driver safety performance.
5
Drivers seeking to correct any inaccuracies in their records.
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What are the important dates for this form in 2024 and 2025?
Important dates related to this form are typically aligned with the annual reporting cycles in the commercial driving industry. Ensure timely submissions to previous employers, especially during the hiring season. Keeping track of deadlines can facilitate smoother employment transitions and compliance.

What is the purpose of this form?
The purpose of this form is to collect and document a driver's safety performance history to ensure compliant hiring practices. It serves as a crucial resource for employers in verifying the qualifications and safety records of commercial drivers. Moreover, the form protects the rights of drivers by providing them with a means to review and correct their records.

Tell me about this form and its components and fields line-by-line.

- 1. Carrier Name: The name of the employer or carrier.
- 2. Contact Person: The individual from whom information is being requested.
- 3. Address: The physical mailing address of the previous employer.
- 4. Phone Number: A contact number for the previous employer.
- 5. Fax Number: A confidential fax number for submitting information.
- 6. Driver Signature: The signature of the driver authorizing the release of information.
- 7. Employment Dates: The period during which the driver was employed with the previous employer.
- 8. Drug and Alcohol Test Information: Details regarding any history of drug and alcohol tests.
- 9. Accident Information: Data regarding any accidents the driver was involved in during employment.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in the hiring process and potential challenges in verifying a driver's safety performance record. Employers cannot make informed hiring decisions without the necessary information. Therefore, timely and accurate submission is crucial to avoid any interruptions in employment opportunities.
- Delayed Hiring Process: Incomplete submissions can lead to prolonged hiring timelines for drivers.
- Inaccurate Safety Records: Missing information may result in employers relying on faulty data to assess driver qualifications.
- Compliance Issues: Failure to provide necessary documentation can lead to compliance violations with federal regulations.
How do I know when to use this form?

- 1. Hiring Process: Use this form when applying for new driving positions that require safety history verification.
- 2. Driver Compliance Audits: Employers may require this form during periodic compliance checks.
- 3. Regulatory Investigations: This form may be necessary in case of investigations by regulatory bodies reviewing driver qualifications.
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