Application for Driver Qualification

As Required by Section 391 DOT Safety Regulations
Applicants are considered for job without regard to race, color, creed, age, sex, handicap, or national origin.
HP CARRIERS INC.
832 Nafta Blvd Laredo, Texas 78045
(956) 462-5197 ext. 9215
Safety.management@hpcarriers.com

Fill out the form, upload documents if available, and sign with your finger if using a phone. Documents may also be uploaded later by Safety.

1. Driver Type

2. Personal Information

3. Family / Emergency Contact

4. License / CDL

6. Employment / Work Eligibility

7. Qualifications

8. Employment Record

Enter previous employers. CDL should include employment history required for DOT review.

Previous Employer #1

Previous Employer #2

Previous Employer #3

Previous Employer #4

9. Driving / Drug & Alcohol History

Accident Record

DateNature of AccidentFatalitiesInjuriesHazardous Materials Spill

Traffic Convictions / Forfeitures

LocationDateChargePenalty

10. Driver Interview Questions

12. Internal Review Questions

These can be completed later by Safety if the applicant does not know them.

13. Documents

Documents are optional at this step. Upload them now if available, or Safety can upload missing documents later from the review screen. Allowed files: PDF, JPG, PNG. Max 8 MB each.

14. Required Authorizations and Signatures

To Be Read and Signed by Applicant / Application Authorization

Required signature. Sign inside the box with your finger or mouse.

Pre-Employment Urinalysis Notification

As a condition of employment, I agree to the urine sample collection and controlled substance testing. I understand that a positive test for controlled substance based on the urinalysis test will medically disqualify me from the operation of a commercial motor vehicle for this company.

Required signature.