All driver applicants to drive in interstate or intrastate commerce must provide the following information on
all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip
code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide
an additional 7 years’ information on those employers for whom the applicant operated such vehicle. LIST
ALL EMPLOYMENT FOR LAST 10 YEARS— PLEASE ACCOUNT FOR ALL TIME.
(Previous Three Years) (Excluding parking violations)
Select States/Provinces you hauled Cargo
What is your preferred location and why?