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Please fill the form out below!

Driver's License and Meidcal Card are not required at this time.

Are you currently with the company?
Do you have any endorsement? HAZMAT * TANKERS * DOUBLES * TRIPES
Drivers License
Medical Card

For as long as I am operating for the under-named carrier company. I the undersigned have authorized Passive Trucking LLC its agents and representatives to obtain the following information:

  • Past Employment References (skills, behavior, experience, drug & alcohol tests)

  • Driving Record History

  • Criminal Background Records

I understand that any information obtained as a result of this release will be provided to the under-named carrier company for hiring eligibility based on DOT regulation under part 391 of 49CFR.

Thanks for submitting!

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