COMMERCIAL DRIVER INFORMATION

Note: If you don’t want to fill out this web form, you can fill out this PDF and mail or fax it to us.

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  • I authorize you to make sure investigations and inquiries to my personal, employment, financial or medical history, and other related matters as may be necessary in arriving at an offer of a CDL driving position. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

    I understand that information I provide regarding current and/or previous employers may be used, and those employers will be contacted for the purpose of investigating my safety performance history as requested by 49 CFR 391.23(d) and (e). I understand that I have the right to:

    • Review information provided by current/previous employers;
    • Have errors in the information corrected by previous employers, and for those previous employers to re-send corrected information to the prospective employer, and;
    • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

    I certify that all entries and information are true and complete to the best of my knowledge.

  • Sign using your touchscreen device, touch pad or mouse.
  • Date Format: MM slash DD slash YYYY

Logistics Services, Inc.
900 Apollo Road
Eagan, MN 55121

FAX: 651-289-1009

Email: info@shiplsi.com