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I. First Driver s Last Name Date of Birth Month/Day/Year City Street Address State Client/License ID Number from Driver License Class of Driver s License Endorsements Zip Code Restrictions Expiration Date Driver Signature CARRIER INFORMATION Carrier/DBA Name Legal Name if different Federal ID Number 19-A Business ID Number VEHICLE INFORMATION Type of Vehicle Adult Seating Capacity PRE-TRIP TEST A. Failed to check wheels tires fire extinguisher and emergency reflectors J* Failed to perform stati ...

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