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List your addresses for residency for the past 3 years.
All driver applicants to drive in interstate commerce must provide the following information on all employers during the
preceding 3 years. Please list your complete mailing address including street number, city, state and zip code. Applicants to
drive a commercial motor vehicle in intrastate or interstate 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
For the past 3 years or more
And forfeitures for the past 3 years (other than parking violations)
List all Driver Licenses or Permits held in the past 3 years.
Check highest level completed
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