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In an era where safety and compliance take the forefront in transportation and employee management, the Employer Verification for CDL (Commercial Driver's License) Drivers form plays a pivotal role. This document, utilized within entities such as the City of Dallas, serves an essential function by ensuring that commercial drivers meet the stringent standards set forth by the U.S. Department of Transportation (DOT) and Federal Motor Carrier Safety Regulations. At its core, the form is a request from an employer to gain access to a prospective driver’s previous employment information and compliance with DOT drug and alcohol testing regulations. Employers are required to ask about any positive tests for controlled substances, high alcohol concentration levels, refusals to submit to required tests, and other violations of DOT testing regulations from the past three years of the applicant's driving history. Furthermore, information on the driver’s employment history, specific types of vehicles operated, and eligibility for rehire are also solicited, providing a comprehensive background check aimed at safeguarding public safety and maintaining regulatory compliance. This meticulous process underlines the commitment to prevent substance abuse and ensure the sobriety of drivers on the road, thereby significantly reducing the risks associated with commercial driving operations.

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)

 

_____________

Form Data

Fact Name Description
Purpose of the Form Allows the City of Dallas to request and receive information about a former employee from prior companies to investigate and qualify them to drive a commercial motor vehicle as required by federal regulations.
Governing Laws Federal Motor Carrier Safety Regulations Parts 382, 391, 392, and 49 CFR Part 40.
Liability Release Prior companies are released from liability that may result from providing the requested information.
Drug and Alcohol History Check Requires the prior company to provide information on the driver's past drug and alcohol test results, including any refusals to be tested or any violations of DOT drug and alcohol testing regulations within the past three years.
Employment History Verification Includes inquiry about the applicant's position, duration of employment, salary, type of vehicles driven, and reason for leaving the prior company.
Eligibility for Rehire Asks the prior company to indicate whether the former employee is eligible for rehire.
Contact Information Form requests the name, title, signature of the respondent, and includes instructions for where to mail or fax the completed form.

Instructions on Utilizing Cdl Verification

Filling out the CDL Verification form is a crucial step in ensuring compliance with U.S. Department of Transportation and Federal Motor Carrier Safety Regulations. This process involves providing detailed information about a former employee's work history, specifically in relation to their experience as a commercial motor vehicle driver. It is also required to report past drug and alcohol test results. Accuracy and attention to detail will ensure that the process is completed successfully, aiding in the quick and efficient qualification of individuals for commercial driving positions.

  1. Start by entering the full name and Social Security number of the former employee in the designated area at the top of the form.
  2. In the section labeled "hereby authorize," fill in the name of the prior company that is being requested to release the information.
  3. Sign and date the form in the provided spaces to indicate the release of liability towards the company providing the information.
  4. Answer the questions regarding the former employee's drug and alcohol test results by checking either "Yes" or "No." For any "Yes" answers, it's necessary to attach documentation showing the individual has successfully completed DOT return-to-duty requirements.
  5. Complete the "FORMER EMPLOYEE WORK HISTORY" section by providing:
    • The dates of employment.
    • The position held and salary.
    • Specific types of vehicles the employee drove, including the amount of time spent driving each type.
    • Any special equipment the former employee was qualified to operate.
    • The reason for the employee's departure from the company.
    • Whether the former employee is eligible for rehire.
  6. Fill in your details as the verifier, including your name, title, and signature.
  7. Indicate the date of completion and provide the best telephone number to reach you for any follow-up questions.
  8. Finally, mail or fax the completed form to the CITY OF DALLAS at the address or fax number provided, ensuring a prompt response to your submission.

Completing the CDL Verification form accurately is imperative to maintain regulatory compliance and support the integrity of the hiring process for commercial drivers. Quick submission after completion aids in expediting the former employee's verification process.

Obtain Answers on Cdl Verification

  1. What is the purpose of the CDL Verification form?

    The CDL Verification form is used by employers for verifying the qualifications and past conduct of an applicant seeking to drive a commercial motor vehicle. This process is in accordance with the U.S. Department of Transportation and Federal Motor Carrier Safety Regulations. It specifically requests information regarding past drug and alcohol test results, refusals to be tested, and any violations of DOT drug and alcohol regulations.

  2. Who needs to fill out the CDL Verification form?

    The form must be filled out by the prior employer of an individual applying to drive a commercial motor vehicle. The applicant must provide authorization by signing the form, allowing their former employer to release the requested information to the new potential employer.

  3. What kind of information is requested on the form?

    The form requests detailed information about the applicant's past employment and conduct. This includes drug and alcohol test results, refusal to submit to tests, violations of DOT drug and alcohol testing regulations, past violations reported by employers, and general work history like position held, reason for leaving, and eligibility for re-hire. It also asks about the specific types of vehicles the former employee has driven.

  4. Is there any liability for providing information?

    No, the form specifically releases the provider of the information from any liability that may result from furnishing such information. This is intended to encourage transparency and honesty in the verification process to ensure the safety of commercial motor vehicle operations.

  5. What happens if an applicant has tested positive for drugs or alcohol in the past?

    If an applicant has a history of testing positive for controlled substances or alcohol, the form requires that documentation of the applicant's successful completion of DOT return-to-duty requirements, including follow-up tests, be provided. This ensures that any past issues have been appropriately addressed in compliance with DOT regulations.

  6. How should the completed form be submitted?

    The form indicates that it should be mailed or faxed to a specified contact within the CITY OF DALLAS, along with all required documentation. The exact mailing address and fax number are provided on the form, ensuring a clear and straightforward way for submitting the necessary information.

  7. What is the significance of the applicant's signature on the form?

    The applicant's signature is crucial as it serves as an authorization allowing the release of their information for verification purposes. This is a legal acknowledgment of their consent for their prior employer to disclose detailed information regarding their employment and testing history to potential future employers.

  8. What should an employer do if they have questions about filling out the form?

    Employers who have questions about the form or the information requested are advised to contact the CITY OF DALLAS directly, using the telephone number provided on the form. This ensures that any uncertainties can be promptly addressed, facilitating the smooth processing of the verification.

Common mistakes

When filling out the CDL Verification form, it's crucial to avoid common mistakes to ensure the process is smooth and accurate. Here are nine common errors:

  1. Not printing clearly: All information should be legible. Unclear handwriting can lead to misinterpretation of critical details.
  2. Omitting the Social Security number: This is a unique identifier that is essential for the verification process.
  3. Failure to authorize release: The form requires explicit authorization to release information. Skipping this step can halt the entire process.
  4. Incomplete employment history: Every field related to employment history must be filled out, including dates of employment, position held, and salary.
  5. Not specifying vehicle types driven: Detailing the types of vehicles driven is necessary for a comprehensive background check.
  6. Ignoring the drug and alcohol test section: This section is crucial for compliance with DOT regulations. Incomplete answers can lead to non-compliance.
  7. Forgetting to provide documentation for any "Yes" answers related to drug and alcohol testing: Documentation of compliance with DOT regulations, such as completion of return-to-duty requirements, is crucial.
  8. Leaving the reason for leaving previous employment blank: The reason for departure is essential for understanding the applicant's employment history.
  9. Not indicating eligibility for rehire: This simple yes or no question offers significant insight into the applicant's employment history.

Additionally, remember to include your name, title, and signature at the bottom of the form along with the current date. Also, ensure to follow the instructions for forwarding the completed form, either by mail or fax, to the CITY OF DALLAS.

By avoiding these common mistakes, you can help expedite the verification process, ensuring that all necessary information is accurately conveyed to the CITY OF DALLAS for the purpose of investigation and qualifying to drive a commercial motor vehicle.

Documents used along the form

When processing the CDL Verification form for commercial motor vehicle drivers as part of the hiring process, it is essential to have a comprehensive understanding of the related documents typically required. These documents serve various purposes, ranging from verifying personal information to ensuring compliance with Department of Transportation regulations. This approach ensures a thorough evaluation of the candidate's qualifications and legal standing to operate commercial vehicles.

  • Medical Examination Report Form - This document certifies that a driver has met the physical requirements set by the Federal Motor Carrier Safety Administration (FMCSA). It's an essential step in ensuring the safety and health of drivers who spend long hours on the road.
  • Commercial Driver's License (CDL) - A copy of the driver's current CDL is required to verify that they are licensed to operate commercial vehicles in the United States. It's a fundamental document that confirms the driver's legal authority to drive.
  • Drug and Alcohol Testing History - According to federal regulations, employers must maintain records of a driver’s drug and alcohol testing results. This information helps in assessing the eligibility of a driver for sensitive positions and ensures compliance with safety standards.
  • Motor Vehicle Record (MVR) - This record provides a history of a driver's licenses, traffic violations, and accident reports. It is crucial for evaluating the driver's safety record and determining their insurability.
  • Previous Employment Verification - Besides the CDL Verification form, employers might require documents that verify a driver’s previous employment in the commercial driving industry. It helps in validating the experience and reliability of the driver.
  • Background Check Authorization Form - This form grants the employer permission to conduct a comprehensive background check, including criminal history, which is important for positions that demand a high level of trust and integrity.

Gathering these documents is a critical step in the hiring process for commercial drivers. It not only ensures that all regulatory requirements are met but also aids in making informed hiring decisions. Thus, employers should be diligent in requesting, reviewing, and maintaining these forms and documents to support their compliance and safety goals.

Similar forms

  • Employment Verification Form: Similar to the CDL Verification Form, it is used by employers to confirm a candidate's previous employment history, responsibilities, and performance. Both forms require previous employers to provide factual information about the employee's work history.

  • Driving Record Check Consent Form: This document, much like the CDL Verification Form, seeks permission to investigate a person's driving history. It is specifically aimed at verifying that the individual meets the safety standards and requirements for operating vehicles, focusing on their driving behaviors and any infractions.

  • Drug and Alcohol Testing Consent Form: Both this form and the CDL Verification Form deal with obtaining consent to disclose results from drug and alcohol tests. They are critical in positions where safety is paramount, ensuring that the individual has not violated any related regulations.

  • Medical Examination Report for Commercial Driver Fitness Determination: This report is akin to the CDL Verification Form in that it assesses an individual’s physical ability to drive a commercial vehicle safely, as per the Department of Transportation (DOT) standards, including assessing the driver's health history and current health status.

  • Background Check Authorization Form: Similar to the CDL Verification Form, this authorization form is used to perform comprehensive background checks on potential employees, including criminal history, previous employment verification, and educational background, ensuring they meet the employer's standards.

  • MVR (Motor Vehicle Record) Request Form: This document, like the CDL Verification Form, is used to request and review an individual's driving history from the state’s Department of Motor Vehicles (DMV). It assesses the suitability of a person to operate motor vehicles, especially for roles that require driving as a primary duty.

  • Consent for Release of Information: This broad consent form, akin to the CDL Verification Form, allows for the release of personal information to a third party. It covers various types of information, including but not limited to, employment history, medical records, and academic records.

  • DOT Previous Employment Alcohol and Drug Test Statement: Closely related to the CDL Verification Form, this statement specifically seeks information about a driver’s previous alcohol and drug test results from prior employers under DOT regulations. It helps in ensuring compliance with safety and health standards.

  • Reason for Leaving Company Statement: This straightforward document, like part of the CDL Verification Form, seeks clarification on why an employee left their previous employment. It’s crucial for understanding the circumstances around an employee’s departure, including eligibility for rehire.

Dos and Don'ts

When filling out the CDL Verification form, it's important to approach the task with accuracy and attention to detail to ensure a smooth and efficient verification process. Below are lists of dos and don'ts that can help guide you through completing the form correctly.

Do:

  1. Ensure all information provided is accurate and up-to-date, including the full name, Social Security number, and details of previous employment.
  2. Obtain the required authorization from the former employee by having them sign the form, thereby allowing the release of their information to the City of Dallas.
  3. Include detailed records of any drug and alcohol test results as mandated by the Department of Transportation, especially if there were any positive results or refusals to submit to tests.
  4. Verify the employment history thoroughly, including positions held, duration of employment, and reasons for leaving, making sure to note eligibility for rehire.

Don't:

  • Leave any sections incomplete, as missing information could delay the verification process or lead to inaccuracies in the investigation.
  • Forget to provide a response for every item regarding drug and alcohol testing in the past three years, as these details are critical for compliance with DOT regulations.
  • Omit details about the types of commercial vehicles driven or special equipment the employee was responsible for, as this information is vital for assessing their qualifications.
  • Fail to send the completed form to the correct fax number or mailing address provided by the City of Dallas, as this could result in delays or loss of the form.

Misconceptions

When discussing the CDL Verification form, various misconceptions can lead to confusion. Let's clarify some of these misunderstandings:

  1. Only negative information affects future employment: This form does not solely focus on negative attributes such as previous drug and alcohol violations. It also encompasses an individual’s entire work history, potentially highlighting a positive track record.

  2. The form is only relevant for drivers with prior violations: Regardless of past behavior, this verification form is a standard procedure for all candidates and is not solely for those with previous violations.

  3. Personal information is at risk of being disclosed: The main aim of the form is to assess eligibility for a CDL position within regulatory compliance, not to delve into unrelated personal details.

  4. Only past employers can complete the form: While the form primarily requests information from previous employers, it can also be completed by authorized representatives capable of verifying a candidate's employment and drug/alcohol test history.

  5. Drug and alcohol test results are the only focus: Though these results are crucial, the form also seeks to gather a comprehensive view of the applicant’s work history, including positions held, reasons for leaving previous employments, and rehire eligibility.

  6. Submitting false information has no repercussions: Providing inaccurate or false information can have significant legal and employment consequences for both the applicant and the entities involved in the verification process.

  7. The request for information is optional: Compliance with the form’s requests is mandatory under federal regulations to ensure that all CDL drivers meet the required standards for drug and alcohol testing history.

  8. The form is used for discriminatory purposes: Its primary use is to ensure safety on the roads by verifying that drivers meet specific federal standards, rather than to discriminate against potential employees.

  9. Only complete if planning to drive specialty vehicles: All commercial drivers, regardless of the type of vehicle they will be operating, are required to undergo this verification process.

  10. Information provided is kept indefinitely: There are specific retention periods for keeping this sensitive information. Employers are required to comply with these periods, after which the information should be securely disposed of.

Understanding the purpose and requirements of the CDL Verification Form is essential for all parties involved, ensuring that the process is completed accurately and efficiently. Clearing up these misconceptions helps streamline the process, benefiting both employers and candidates.

Key takeaways

Filling out and using the CDL Verification form is critical for employers to verify the commercial driving qualifications of potential hires, especially concerning their drug and alcohol testing history under the Department of Transportation and Federal Motor Carrier Safety Regulations. Understanding the key aspects of this process can ensure compliance and promote a safe working environment.

  • A comprehensive release: The form serves as a release, allowing previous employers to share detailed information about the applicant's drug and alcohol test results without fear of legal repercussions. This ensures that the hiring process is transparent and that the employer makes informed decisions.
  • Specific information required: Employers are obliged to provide detailed drug and alcohol testing history, including positive tests for controlled substances, alcohol concentrations of 0.04 or higher, refusals to submit to tests, and any other violations of DOT drug and alcohol testing regulations within the past three years.
  • Documentation of compliance: For any positive responses regarding past drug and alcohol test results, the form requests documentation proving the applicant's successful completion of DOT return-to-duty requirements. This is crucial for verifying that the applicant has met all necessary standards to be eligible for hiring.
  • Employment history verification: Beyond drug and alcohol testing history, the form also facilitates the collection of information about the applicant’s previous employment, including positions held, the type of vehicle operated, and reasons for leaving, thereby giving a comprehensive view of the applicant’s professional background.

Employers must exercise due diligence in filling out and submitting the CDL Verification form to ensure not just regulatory compliance, but also to uphold safety standards within their operations. Prompt and accurate completion of the form supports a safer and more reliable transportation industry.

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