Free Cdl Verification Form in PDF

Free Cdl Verification Form in PDF

The CDL Verification Form is a crucial document used for verifying the qualifications of commercial drivers as part of the hiring process. It ensures compliance with regulations set forth by the U.S. Department of Transportation and the Federal Motor Carrier Safety Administration, focusing on past drug and alcohol testing results among other qualifications. For employers looking to hire commercial drivers, filling out this form accurately is essential for a thorough vetting process. Click the button below to begin the verification process.

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The CDL Verification Form serves as a critical tool in the hiring process for commercial motor vehicle drivers, especially within the rigorous regulatory environment governed by the U.S. Department of Transportation and Federal Motor Carrier Safety Regulations. It is meticulously designed to gather essential data from former employers regarding a candidate's history, specifically focusing on sensitive areas such as drug and alcohol test results, refusals to undergo such tests, and any violations of DOT's stringent drug and alcohol testing regulations. This form requires previous employers to disclose not only if the applicant had any positive tests for controlled substances or alcohol concentrations of 0.04 or higher but also any refusals to submit to these mandatory tests, including instances where results were tampered with or substituted. In addition to screening for past transgressions, the form seeks information related to the applicant's work history, including positions held, duration of employment, salary, reason for leaving, eligibility for rehire, and the types of vehicles operated, which could range from tractor/semi-trailers to straight trucks and specialized equipment. Employers are urged to provide a prompt response to facilitate the candidate's verification process, aligning with the overarching goal of ensuring only qualified and compliant drivers are granted the responsibility of operating commercial motor vehicles, thereby upholding the safety standards and regulations that define the transportation industry.

Preview - Cdl Verification Form

 

 

Employer Verification for CDL Drivers

CITY OF DALLAS

 

 

FORMER EMPLOYEE INFORMATION AND RELEASE

 

 

NAME:

Social Security #

 

(please print)

 

 

hereby authorize

to release the following requested

 

 

(Name of Prior Company)

 

 

information to the CITY OF DALLAS for the purpose of investigation and qualifying me to drive a commercial motor vehicle as required by the U.S. Department of Transportation and Federal Motor Carrier Safety Regulations Parts 382, 391, 392 and 49 CFR Part 40. You are hereby released from any and all liability that may result from furnishing such information. Your quick response to this request will be greatly appreciated.

Signature

 

Date

NOTE - Regulations of the Department of Transportation (49 CFR Part 40) requires your company to provide us with information concerning the named driver’s past drug and alcohol test results, including refusals to be tested.

In the past three years has the previously named applicant ever:

Tested positive for a controlled substance?

Tested with an alcohol concentration of 0.04 or higher?

Refused to submit to a DOT required drug and/or alcohol test, including a verified adulterated or substituted result?

Had any other violations of DOT drug and/or alcohol testing regulations?

Had any violations of drug and/or alcohol regulations from previous employers?

Did a previous employer report a drug and alcohol rule violation to you?

YES

YES

YES

YES

YES

YES

NO

NO

NO

NO

NO

NO

For any YES answer, please provide documentation of the previously named applicants successful completion of DOT return-to-duty requirements (including follow-up tests).

FORMER EMPLOYEE WORK HISTORY

Employed from

 

to

 

as a

 

at average or salary of

Did former employee drive a motor vehicle for you?

YES

NO

If yes please indicate specific type of vehicle(s) and time driven for you:

 

Tractor/Semi-Trailer; years

 

months

Straight Truck; years

 

months

Other (Please Specify)

 

years

 

months

Any special equipment driven? (such as; Doubles, Tanker, Flat Bed, etc.) Please list:

Reason for leaving your employ: Discharged Resigned

Is former employee eligible for re-hire at your company?

Laid Off Other

YES NO

Your Name

 

Title

Your Signature:

Please forward response as indicated as soon as possible. Thank You

REVISED 5/19/2004

Telephone #:

 

______

______ Date:

 

______

MAIL OR FAX TO: CITY OF DALLAS

 

 

ATTN:

 

 

1500

Marilla 6AN

 

Dallas, Texas 75201

Fax # (214)

 

_______

Any questions, call (214)

 

_____________

Document Specs

Fact Name Description
Purpose of the Form For verifying the qualifications of CDL drivers for employment, specifically by checking their drug, alcohol, and driving record as mandated by federal regulations.
Governing Law U.S. Department of Transportation and Federal Motor Carrier Safety Regulations Parts 382, 391, 392, and 49 CFR Part 40.
Information Required Past drug and alcohol test results, refusal to be tested, and violations of DOT drug and/or alcohol testing regulations by former employees.
Liability Release Companies are released from liability for providing the requested information to the CITY OF DALLAS.
Employment History Verification Includes verification of the former employee's role, salary, reason for leaving, eligibility for rehire, and if they drove a motor vehicle.
Special Equipment Section Details about specific types of vehicles or special equipment the former employee operated, such as Doubles, Tanker, or Flat Bed vehicles.
Contact Information Request is to be mailed or faxed to the CITY OF DALLAS with specific attention details and includes a section for the employer’s contact information.

Instructions on Writing Cdl Verification

Filling out the CDL Verification form is a necessary step for individuals seeking employment that requires driving a commercial motor vehicle, especially within the City of Dallas. This form is pivotal in the process of verifying a driver's compliance with the Department of Transportation's regulations regarding drug and alcohol testing. Completing this form accurately ensures a smooth transition through the hiring process. Here's how to fill out the form:

  1. Start by entering the name and Social Security number of the former employee seeking verification, ensuring all details are legible.
  2. In the section that reads "Name of Prior Company," input the name of the company you're requesting information from.
  3. Review the authorization statement that allows the release of requested information to the CITY OF DALLAS, ensuring you understand the extent of the consent given.
  4. Sign and date the form under the authorization statement to validate the request. The date should reflect when the form is being filled out.
  5. Answer the series of questions regarding past drug and alcohol test results by marking "YES" or "NO" as applicable. If any questions are answered with "YES," be prepared to provide further documentation as requested.
  6. Under "FORMER EMPLOYEE WORK HISTORY," specify the period of employment, the position held, and the compensation received.
  7. Indicate whether the former employee drove a motor vehicle for the company by selecting "YES" or "NO." If yes, detail the types of vehicles driven and the duration of time they were operated.
  8. List any special equipment the former employee was qualified to operate, if applicable.
  9. Specify the reason for the former employee's departure (e.g., discharged, resigned, laid off, other) and whether they are eligible for rehire.
  10. Complete the section at the bottom with your name, title, and signature along with the date, to officially validate the information provided on the form.
  11. Lastly, send the completed form to the address or fax number provided, making sure it reaches the CITY OF DALLAS department responsible for the verification process. Remember to include any necessary documentation for "YES" answers in the drug and alcohol testing section.

Once the form is submitted, the verification process will proceed, allowing the City of Dallas to ensure compliance with federal regulations. Accurate and timely completion of this form supports the employment verification process, helping both the employer and the former employee move forward efficiently.

Understanding Cdl Verification

What is a CDL Verification Form?

A CDL Verification Form is a document used by employers to verify a commercial driver's license (CDL) holder's previous employment and drug/alcohol test results. It is specifically designed to comply with the U.S. Department of Transportation and Federal Motor Carrier Safety Regulations Parts 382, 391, 392, and 49 CFR Part 40 requirements.

Who needs to fill out the CDL Verification Form?

This form is filled out by the employer or company that previously employed the CDL driver. The driver authorizes the previous employer to release their employment and drug/alcohol test information to a new or prospective employer for the purpose of investigation and qualification for driving a commercial motor vehicle.

What information is required on the form?

The form requires detailed information about the driver's previous employment, including dates of employment, positions held, salary, and the types of vehicles operated. It also asks for drug and alcohol test results, including any positive tests, refusals to be tested, or violations of DOT drug and alcohol testing regulations within the past three years.

Is the driver's consent needed to release information?

Yes, the form includes a section where the former employee (the driver being investigated) authorizes the release of their employment and test result information to a new or prospective employer. This consent is necessary for compliance with privacy laws and regulations.

What happens if there is a "Yes" answer related to drug and alcohol tests?

If there is a "Yes" answer to any questions regarding past drug and alcohol test results, the previous employer is required to provide documentation of the driver's successful completion of DOT return-to-duty requirements, which includes follow-up tests.

Can this form be used for drivers outside the City of Dallas?

While this specific form is designed for use by the City of Dallas, the information it collects is based on federal regulations that apply nationwide. Therefore, similar forms may be used in other jurisdictions, but it's important to verify local requirements.

What is the significance of driver eligibility for re-hire?

If a former employer indicates that a driver is not eligible for re-hire, it could signal potential problems or issues during the driver's previous employment. However, it's important to consider the context and reasons surrounding a non-rehire status, as it may not always relate to performance or compliance issues.

What are the consequences of falsifying information on the CDL Verification Form?

Falsifying information on the CDL Verification Form is a serious offense that can lead to penalties under federal and possibly state laws. It may result in the revocation of the driver's CDL, fines, and legal action against the parties involved.

How quickly should the completed form be returned?

The form requests that the previous employer complete and return it "as soon as possible." Prompt return of the form helps ensure that the verification process doesn't delay the driver's employment or qualification process.

How can the form be submitted?

The form indicates that it can be mailed or faxed to the City of Dallas at the provided address and fax number. It's essential to follow the instructions on the form to ensure it reaches the appropriate department for processing.

Common mistakes

One common mistake made when filling out the CDL Verification form is not providing the social security number in the specifically designated area. This number is crucial for identifying the former employee and must be clearly and accurately filled out to ensure there is no confusion or delay in processing the form. Incorrect or missing social security numbers can lead to significant delays in the verification process.

Another error often encountered is the failure to clearly print the name of the prior company in the authorization section. This name is essential for the City of Dallas to know who to contact for verification. If the name is unclear, incomplete, or incorrect, it impedes the ability to obtain the necessary information, potentially invalidating the verification effort.

Applicants frequently overlook the requirement to sign and date the form, thereby authorizing the release of information. A signature and a current date verify that the former employee has agreed to the terms of information release. Without this, the form is considered incomplete and cannot legally be processed, halting any further action until this oversight is corrected.

Many also fail to thoroughly answer questions about previous drug and alcohol test results. It is imperative to check the appropriate 'YES' or 'NO' boxes to document the applicant's testing history accurately. If any of these sections are left blank or answered incorrectly, it may raise concerns or necessitate follow-up, slowing down the verification process.

When providing details of the former employee's work history, a common mistake is to leave out employment dates or to fill them in vaguely. Precision in stating the employment period from start to end date is necessary for validating the applicant's work experience. This mistake can lead to questions regarding the validity of the work history provided.

Inaccuracies in listing the type of vehicle(s) the applicant drove is another frequent mistake. Specific vehicle experience is crucial for certain driving positions. Failing to clearly indicate the types of vehicles driven, or neglecting to mention special equipment operated, can affect the employer's decision-making process regarding an applicant's suitability for a role.

An error often made is not specifying the reason for the employee's departure from the company. Whether the employee was discharged, resigned, laid off, or left for other reasons, this information is important for potential employers to understand the context of the employee's work history. Unclear or missing information in this section can lead to assumptions that may not be in the former employee's favor.

Failure to accurately indicate whether the former employee is eligible for re-hire is a mistake that can significantly impact the applicant's prospects. This is a critical factor that potential employers consider when evaluating an applicant's previous employment record. Any ambiguity or error in this response can create confusion and potentially hinder the applicant's chances.

Omitting the contact information of the person completing the form is a common oversight. The name, title, and signature of the respondent, along with a current date, are essential for validating the information provided. Without this information, the verification process cannot be completed, as there is no accountability or point of contact for follow-up inquiries.

Lastly, neglecting to forward the response to the correct address or fax number of the City of Dallas can result in the form not reaching its intended destination, therefore delaying or even nullifying the verification process. Ensuring the form is sent to the correct location is a crucial final step that is frequently overlooked.

Documents used along the form

When it comes to ensuring that commercial drivers are qualified and compliant with regulations, the CDL Verification form plays a critical role. However, this document does not stand alone. In the process of verifying a driver's qualifications and background, several other forms and documents are often used in conjunction. These documents supplement the CDL Verification form, providing a more comprehensive view of the driver’s history, qualifications, and legal compliance.

  1. Medical Examination Report Form: This document is essential for verifying a driver's physical qualification to operate a commercial vehicle. It includes results from a physical exam conducted by a licensed medical examiner.
  2. Motor Vehicle Record (MVR): An MVR provides a record of a driver's driving history from the issuing state. It includes information on any traffic violations, suspensions, revocations, and accidents.
  3. Pre-Employment Screening Program (PESP) Report: This report offers access to a commercial driver’s crash and inspection history as reported to the Federal Motor Carrier Safety Administration (FMCSA). It helps employers assess a driver's safety performance before hiring.
  4. Drug and Alcohol Testing Records: These records show the results of any drug and alcohol testing a driver has undergone, in compliance with Department of Transportation (DOT) regulations. It includes both past test results and documentation related to the return-to-duty process, if applicable.
  5. Background Check Authorization Form: This form gives the employer permission to conduct a comprehensive background check, including criminal history, previous employment verification, and references checks.
  6. FMCSA Notification of Driver’s Rights: Under the regulations of the DOT, drivers have specific rights regarding the inspection and contesting of information provided by previous employers. This document outlines those rights.

In the intricate process of hiring and verifying commercial drivers, these documents collectively ensure that all necessary steps have been taken for compliance and safety. Employers gather and review this information not just to abide by regulations but to promote safer roadways through responsible hiring practices. This holistic approach to verification strengthens the reliability and safety of commercial driving operations.

Similar forms

The Medical Review Officer (MRO) Report is quite similar to the CDL Verification form because both play a crucial role in ensuring the safety and compliance of individuals in sensitive or regulated roles. The MRO Report specifically focuses on the results of drug and alcohol testing for employees, detailing whether an individual passed or failed these tests and the implications of the results. Like the CDL Verification form, it is used to document compliance with federal regulations, in this case, those set forth by the Department of Health and Human Services (HHS) and the Department of Transportation (DOT). Both documents require detailed information about the individual and are filled out by authoritative sources to maintain workplace safety and regulatory compliance.

The Employment Verification Letter (EVL) shares similarities with the CDL Verification form in its purpose of verifying an individual's employment history and qualifications. While the CDL Verification form focuses more on compliance aspects related to driving commercial vehicles, an EVL serves a broader purpose, providing proof of an individual's employment status, job title, dates of employment, and sometimes, salary information. Both forms are used by employers to make informed decisions based on the verification of an applicant's previous employment and qualifications.

The DOT Pre-Employment Screening Program (PSP) Report is another document that aligns closely with the CDL Verification form. The PSP Report provides access to a commercial driver's safety history, including their roadside inspection and crash records with the DOT. Similar to the CDL Verification, the PSP Report is used by employers to assess the risk associated with hiring a new driver based on their previous performance and compliance with safety regulations. Both are critical tools in promoting road safety and ensuring that commercial drivers meet federal standards.

The Consent to Release Information form, while broader in scope, shares a fundamental similarity with the CDL Verification form in terms of its function to authorize the release of personal or sensitive information. Specifically, in the context of employment, it allows former employers to share details about an individual's employment history, performance, and reasons for leaving with prospective employers. Just like the CDL Verification form, it includes a release of liability for the information provider, underscoring the importance of consent and legal protections in the exchange of personal information between parties.

The Driver Qualification File (DQF) Documentation is a comprehensive collection of records that proves a driver’s qualifications to operate a commercial vehicle, making it similar to the CDL Verification form. It encompasses a wide range of documents, including the driver's application for employment, motor vehicle records, certificate of road test, and records of past employment verification—much like the specific inquiries found in the CDL Verification form related to past drug and alcohol test results. Both sets of documents are integral to ensuring compliance with FMCSA regulations and ensuring that commercial drivers are properly vetted and qualified.

Dos and Don'ts

Filling out a CDL (Commercial Driver's License) Verification form is a critical step in ensuring that commercial drivers meet the necessary federal and employer standards. Here are five essential dos and don'ts to help guide you through this process:

Dos:
  • Do double-check the information: Before submitting, make sure all the data you've entered is accurate. This includes checking the dates of employment, types of vehicles driven, and reasons for leaving previous employers.
  • Do provide detailed information: If the driver has tested positive for controlled substances, or alcohol, or has refused to submit to tests, it's important to provide comprehensive details, including documentation of successful completion of DOT return-to-duty requirements.
  • Do obtain consent: Ensure that the former employee has signed the form, authorizing the release of their information. This is crucial for compliance with privacy laws and regulations.
  • Do respond promptly: Timeliness is key in the verification process. Quick responses help the hiring process move efficiently and show respect for all parties involved.
  • Do verify the driver’s eligibility for re-hire: Clearly indicate whether the driver is eligible for re-hire at your company, as this provides valuable insight into their employment history and reliability.
Don'ts:
  • Don’t leave sections blank: If a section does not apply, it's better to write "N/A" rather than leaving it empty. This helps to confirm that you have reviewed each part of the form and nothing was missed.
  • Don’t provide incomplete information: If the form asks for specific types of vehicles driven or reasons for leaving employment, make sure to provide detailed answers rather than vague or incomplete responses.
  • Don’t forget to check for signatures: Missing signatures can delay the verification process. Always ensure that all required parties have signed the form before sending it.
  • Don’t ignore follow-up requests: If additional information is requested after submitting the form, make sure to respond as soon as possible. Ignoring these requests can prevent or delay the hiring process.
  • Don’t underestimate the importance of accuracy: Providing false or misleading information can have legal consequences and negatively impact the driver's employment opportunities. Always strive for honesty and accuracy in your responses.

Misconceptions

When it comes to the CDL Verification form, particularly for the City of Dallas, there are a handful of misunderstandings that can muddy the waters for both employers and employees. Below are nine common misconceptions cleared up to ensure everyone is on the same page:

  • It's an optional document: This form is not optional but a necessary step in verifying a commercial driver's qualification under regulations set by the U.S. Department of Transportation and the Federal Motor Carrier Safety Regulations. Employers must complete it to ensure compliance and safety.
  • Only positive drug and alcohol tests are reported: It's a common mistake to believe that only positive results are worth mentioning. However, the form specifically asks for any drug and alcohol test refusals, including tests that were adulterated or substituted, along with any violations of DOT drug and alcohol testing regulations.
  • Personal information isn't safe: The concern for personal privacy, especially around social security numbers and drug/alcohol testing results, is understandable. Nevertheless, this form includes a release from liability for companies providing this information, acknowledging the sensitive nature of the data and its secure handling as part of the compliance process.
  • Any type of vehicle experience is relevant: While the form requires information about the types of commercial vehicles driven, it's important to distinguish between commercial driving experience and non-commercial. Specifically, details on types of commercial vehicles like tractor/semi-trailers, straight trucks, or special equipment like tankers or flatbeds are sought to assess relevant experience.
  • Former employee rehire eligibility doesn’t matter: The question about whether a former employee is eligible for rehire provides valuable insight into their reliability and suitability for driving roles. This isn't just a formality but a piece of data that could influence their qualification for a position.
  • Faster response times aren’t important: On the contrary, the form notes that a quick response is greatly appreciated. Timeliness in providing this information can be crucial for compliance deadlines and for the employing company's operational needs.
  • Employment history details are just a formality: The employment history section, including reasons for leaving the previous employ, isn't merely procedural. It's a vital part of understanding a driver's work history and ensuring they meet the DOT's strict standards for commercial drivers.
  • You need to list every vehicle ever driven: This form focuses on commercial vehicles relevant to the CDL classification and the types of vehicles the applicant may be operating if hired. It’s not necessary to list non-commercial or unrelated driving experience.
  • The form is only for the City of Dallas's internal use: While the form is directed to the City of Dallas, the information gathered is part of a federally mandated process for verifying the qualification of CDL drivers across the United States. Compliance affects not just local operations but also meets national safety and regulation standards.

Understanding and properly completing the CDL Verification form is crucial for both employers and driver applicants. Clearing up these misconceptions ensures that the process is effective and aligned with federal requirements, contributing to safer roads and a compliant transportation sector.

Key takeaways

The CDL Verification Form is a crucial document for employers looking into the background and qualifications of potential commercial drivers. It serves multiple purposes, including validating a candidate's previous employment and ensuring their compliance with Department of Transportation regulations. Here are some key takeaways for filling out and using this form efficiently:

  1. It's essential to accurately provide the former employee's name and Social Security number to ensure the correct information is released.
  2. The form requires the authorization of the former employee to release their information, emphasizing the importance of obtaining a signature and date to validate the request.
  3. Employers are mandated by the Department of Transportation and Federal Motor Carrier Safety Regulations (parts 382, 391, 392, and 49 CFR Part 40) to disclose any records of drug and alcohol test results, along with refusals to be tested, for the past three years.
  4. For any positive tests or refusals, documentation of the applicant’s successful completion of DOT return-to-duty requirements, including follow-up tests, must be provided.
  5. The form inquires about the former employee's work history, including the period of employment, position, and salary or wage, to give a comprehensive view of the applicant’s previous roles.
  6. Specific questions about the types of vehicles driven and any special equipment the employee was responsible for are aimed at evaluating their driving experience and qualifications.
  7. Understanding the reason for the employee's departure from their previous job (discharged, resigned, laid off, etc.) and whether they are eligible for re-hire can provide insight into their work ethic and reliability.
  8. Swift communication is encouraged, noting the importance of a quick response to the request for information, which underscores the time-sensitive nature of hiring processes.
  9. Finally, accurate completion and prompt forwarding of the form, whether by mail or fax to the City of Dallas, are critical steps in ensuring the potential employer has all necessary information to make an informed hiring decision.

By understanding and meticulously following these guidelines, employers can streamline the verification process for commercial drivers, ensuring compliance with legal requirements while securing qualified and reliable personnel for their operations.

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