Previous Employer Safety Performance Inquiry — What to Request

Checklist Items

• Required — Driver's full name and date of birth (for identification)
• Required — Dates of employment with that employer
• Required — Type of driving performed (CMV class, vehicle type, routes)
• Required — All DOT-reportable accidents in the previous 3 years
• Required — Any drug or alcohol violations under 49 CFR Part 382
• Required — Any refusals to submit to drug/alcohol testing
• Required — Whether the driver was a CDL holder subject to FMCSR
• Reason for separation (voluntary, involuntary, laid off)
• Required — Date of inquiry letter
• Required — Record of any response received (or non-response)

Checkboxes reset on page reload. This is a reference tool only — not a saved record.