All driver applicants to drive in interstate commerce must provide the following information on all employers
during the preceding 3 years. List complete mailing address, street number, city, state and zip code.
Applicants to drive a commercial motor vehicle* in intrastate commerce shall also provide an additional 7 years+
information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order
starting with the most recent. Add another sheet if necessary.)
*Includes vehicles having a GVWR of 26,001 lbs or more, vehicles designed to transport 15 or more passengers, or any size
vehicle used to transport hazardous materials in a quantity requiring placarding.