Employee Driver Fundamentals

Employee Driver Fundamentals

This document records the employee's personal information, driver qualifications, prior employment and training acknowledgments required to operate company vehicles. Completion of this form and the certifications below are conditions of authorization to operate company vehicles. Provide accurate and complete information.

Personal Information

Position Information

Reporting Manager:

Start Date:

Driver Qualification

State of License: License Number:

License Class: Endorsements:

Restrictions/Limitations:

Issue Date:

Expiration Date:

Driving History

In the past 3 years, number of at-fault accidents:

Has your license been suspended or revoked within the past 5 years? Yes No

Training & Competency

Indicate completion of the following core modules (check when completed):

Defensive Driving and Risk Management
Pre-trip and Post-trip Vehicle Inspection
Hours-of-Service / Logbook Procedures (if applicable)
Cargo Securement and Load Safety
Emergency Procedures and Incident Reporting
Distracted Driving and Mobile Device Policy
Seatbelt and Personal Protective Equipment Requirements

Vehicle Familiarity

Vehicle types employee is authorized to operate (check all that apply):

Light-duty truck / van
Medium-duty / box truck
Trailer / towing combination
Heavy-duty / tractor-trailer

Safety Policies & Legal Notices

At-Will Employment: Employment with this company is at-will. Nothing in this form constitutes a contract guaranteeing employment for any definite period. Either the employee or the employer may terminate employment at any time, with or without cause or notice, unless a separate written agreement states otherwise and is signed by an authorized company representative.

Equal Opportunity: The company provides equal employment opportunity to all employees and applicants without regard to protected characteristics as defined by applicable law. Employment decisions are based on business needs, job requirements and individual qualifications.

Mandatory Safety Compliance: Employees operating company vehicles must comply with all federal, state and company safety regulations. Failure to comply with safety rules, including but not limited to seatbelt use, hours-of-service rules, inaccurate logbooks, or drug and alcohol policy violations, may result in disciplinary action up to and including termination.

Consent and Authorizations

I authorize the company and its agents to obtain my motor vehicle record (MVR) and to conduct periodic checks of my driving record during my employment. I also authorize the company to obtain employment references and safety records from prior employers for the purpose of verifying my driving qualifications.

I consent to pre-employment, random, post-accident and reasonable suspicion drug and alcohol testing as required by company policy and governing regulations. I understand that a positive result or refusal to test may result in immediate removal from safety-sensitive duties and disciplinary action.

I consent to release of my motor vehicle record to the company.
I consent to drug and alcohol testing as described above.

Employment History (Most Recent First)

Employment Dates: to

Employment Dates: to

Education

Graduation Date:

References

Emergency Contact

Applicant Certification

I certify that all information provided on this form is true and complete to the best of my knowledge. I understand that falsification, omission, or misrepresentation of facts may disqualify me from employment or lead to disciplinary action, including termination. I authorize the release of information necessary to verify the entries on this form, including motor vehicle records, previous employers, and training records.

I understand that assignment to operate company vehicles is contingent upon meeting licensing, training and safety requirements and that the company may revoke driving privileges at its discretion for safety or compliance reasons.

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