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Thank you for submitting

Driver’s Written Authorization to

Release Information

If you were NOT operating a commercial motor vehicle anytime in the preceding 10 years.

You are required by 49 CFR 391.21 b, 10 to submit information for every employer worked for the last 3 years.

Submit 1 form for each Previous Employer.

If you were operating a commercial motor vehicle anytime in the preceding 10 years.

You are required by 49 CFR 391.21 b, 11 to submit information for every employer you worked for the last 10 years for whom you operated a commercial motor vehicle.

Submit 1 form for each Previous Employer.

 

Please fill out the rest of your Application

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