To download PDF Driver's Safety Performance Form - gasrt.com 2025

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The document is a Request for Driver’s Safety Performance History, which is used to gather information from previous employers of a Commercial Motor Vehicle (CMV) driver. It includes sections for the driver to authorize the release of their employment records, drug and alcohol test results, accident history, and work history. The document ensures compliance with Federal Motor Carrier Safety Regulations (FMCSRs) and allows the driver to review and contest any inaccuracies in their performance history.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the 'Carrier Name' and 'Contact Person' fields at the top of the form. Ensure that you provide accurate contact details for your previous employer.
In the 'Driver to Complete This Section', enter your name, authorize the release of your employment records, and sign where indicated. Make sure to include your Social Security Number or ID Number and date of birth.
Proceed to SECTION I, where past employers will need to complete drug and alcohol information. If applicable, check the boxes for any violations or tests conducted.
In SECTION II, provide accident information if applicable. Fill in details such as date, location, and whether there were fatalities or injuries.
Complete SECTION III with work history information. Include job title, type of equipment operated, and any traffic violations if they occurred during employment.

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