• Helps you satisfy 49 CFR Section 391.23(d), which requires the prospective employer to obtain driver identification, employment verification, and accident information from a driver/applicant's previous employer(s)
• Covers the following:
  • Driver/applicant's authorization to release information
  • Employment verification and accident information (including date, location, injuries, fatalities, hazardous material spill details)
• Snap-out format
• Twp plies
• Carbonless
• Measures 8-1/2" x 11"
• Made in the USA

Note: This form does not include questions about drug/alcohol testing

View Sample

View a sample Request For Information From Previous Employer.