Employee Driver Packet

EMPLOYEE DRIVER PACKET

Personal Information

Position Information

Driver Qualifications and Licensing

Driver's License Number: Issuing State: Class:

Driving History — Safety Disclosure

Have you been involved in any reportable accidents in the last 3 years? Yes No

Have you been convicted of any moving violations in the last 3 years? Yes No

Employment History (Most Recent Two Employers)

Education & Training

References

Legal Disclosures & Authorizations

At-Will Employment: I understand and agree that, unless otherwise agreed in a separate written employment agreement signed by an authorized company representative, my employment is at-will and may be terminated by me or the company at any time, with or without cause or notice.

Equal Employment Opportunity: The company provides equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, or other protected characteristic as required by applicable law.

Background Check, MVR & Drug Testing Authorization

I authorize the company and its agents to obtain motor vehicle records, consumer reports, criminal history, and other job-related information as required for driving duties. I understand that a driving background check (MVR) and a pre-employment and/or random drug and alcohol screening may be required. I further authorize release of any information from previous employers relating to safety performance, disciplinary records, and driving history to the company.

I acknowledge that the company maintains a drug and alcohol testing policy applicable to safety-sensitive positions. I understand that refusal to submit to a required test, a positive confirmed test, or other violations of the policy may result in disciplinary action, up to and including termination.

Applicant Certification

I certify that all information provided in this Employee Driver Packet is true, complete, and correct to the best of my knowledge. I understand that falsification, omission, or misrepresentation of information may result in denial of employment or immediate termination. I further certify that I have disclosed all driving-related incidents and convictions as required above.

Attachments / Document Checklist

Please indicate documents attached with this packet.

Additional Declarations

I understand that completion of this packet does not constitute an offer of employment. Any offer of employment is contingent upon satisfactory completion of required background checks, drug testing, and verification of qualifications.

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