Class B Commercial Motor

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Position Held

Reason for leaving? Terminated

Were you terminated discharged/laid off? Yes

Termination Explanation Received warming ticket

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor Yes

vehicle? =

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven Midwest

Miles driven weekly 2500-3000

Pay Range (cents/mile)

—— $e ——

Most common truck driven Class B Vehicle

Reason for leaving?

Were you terminated/discharged/laid off?

Is this your current employer?

Contact this candidate