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As a prospective employer of a CMV driver, you are required to request specific safety performance history and drug/alcohol testing violation information from any DOT-regulated employer for whom the applicant worked within the 3 years prior to his/her application with you. Applicants must provide written consent for these requests, and the consents must accompany the requests. This document can be used for these purposes, and copies should be kept in the drivers' files. 


Pertinent Regulation(s): 49 C.F.R. 40.25(g), 391.23

Safety Performance History Request

  • Document is provided in the .docx format. Use of the document is governed by our Terms & Conditions, including the prohibition on unauthorized reproduction and distribution. 

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