Motor Vehicle Drivers Certification of Violations Driver Requirements: Each driver shall furnish the list as required by the motor carrier above 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'Name of Driver' field. Ensure it is printed clearly for easy reading.
3. Fill in your ID Number and Date of Employment accurately to maintain proper records.
4. Provide the Home Terminal location, including city and state, along with your Driver's License number and its expiration date.
5. In the section for traffic violations, list any offenses you have been convicted of or for which you forfeited bond during the past 12 months. Include the date, offense, location, and type of vehicle operated.
6. If you have no violations to report, check the certification box confirming that you have not been convicted or forfeited bond on any required violations in the past year.
7. Sign and date the certification at the bottom of the form to validate your submission.

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