Collect DOT Safety Performance History From Past Employers

This free Commercial Truck Driver Previous Employer and DOT Safety Performance History Verification Form template gives motor carriers a simple way to request the background information needed when hiring a CDL driver. In the first section, the driver enters their full legal name, CDL number and issuing state, the prospective employer's name and USDOT number, and the previous employer's name. The driver then signs a release authorizing that company to share employment verification, accident history under 49 CFR 390.15(b), and DOT drug and alcohol testing records under 49 CFR 40.25 and 391.23 for the past three years.

The previous employer then confirms whether the driver worked for them and provides dates of employment, the types of commercial motor vehicles operated, and the reason for leaving. They also report any DOT-recordable accidents with details for each one and indicate whether the driver was subject to DOT testing. They disclose any testing violations from the past three years and attach return-to-duty documentation or supporting records when applicable. The form closes with the name and job title of the person completing it. It is built for trucking companies, small fleet owners, safety and compliance managers, driver recruiters, and HR teams that hire CDL drivers.

Moving this process online replaces faxed paperwork and repeated follow-up calls with a single shareable form. Previous employers can respond from any device, and you receive complete, legible answers in one place. The built-in authorization language clearly states the driver's right to review the information, request corrections, and submit a rebuttal statement. This helps you document a consistent, transparent investigation for your driver qualification files. Customize the fields, add your logo, and start verifying driver history today.