TDSJ TRANSPORTATION EMPLOYMENT / LEASE OPERATOR APPLICATION

This form is a structured application for driver positions, including lease operators. It collects essential applicant data, covering personal details, driving qualifications, comprehensive employment and driving history (accidents, convictions), DOT compliance (drug/alcohol testing), and conditionally, specific information required for lease operators. The form concludes with document upload requirements and an applicant acknowledgment/signature.

Personal and Contact Information

Full Name

Email *

Phone *

Social Security Number

Date of birth

Address

Street Address

City

State

Country

Postal code

Employment History (Past 10 Years, Most Recent First)

Previous Company

Company Phone

Reason for Leaving

Was this job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Yes

No

Explain any gaps in employment (include month, year, and reason for each gap)

Driving Record & Legal Questions

Accident Record for the past 3 years or more (If none, write NONE. Include Location, Date, Charge, & Penalty for each.)

Traffic Convictions and forfeitures for the past 3 years (other than parking violations). (If none, write NONE. Include Location, Date, Charge, & Penalty for each.)

Do you have legal right to work in the United States?

Yes

No

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Yes

No

Have you been convicted of a criminal offense (Felony or misdemeanor)

Yes

No

Has any license, permit or privilege ever been suspended or revoked?

Yes

No

DOT Drug & Alcohol Testing History

Have you tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years?

Yes

No

Sec. 40.25( ): As the employer, you must also ask the employee whether he or she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the employee applied for, but did not obtain, safety-sensitive transportation work cover by DOT agency drug and alcohol testing rules during the past two years. If the employee admits that he or she had a positive test or a refusal to test, you must not use the employee to perform safety-sensitive functions for you, until and unless the employee documents the successful completion of the return-to-duty process. (seeSec. 40.25(b)(5) and (e))

Applicant Initial

To acknowledge reading and understanding Sec. 40.25( )

Required Document Uploads

Please download the forms using the links below. Once completed, upload them to continue to the next step.

📄 Lease Agreement:
https://storage.googleapis.com/msgsndr/86atYDYiUbTRbf1daK9c/media/685e73de79ce079668858a25.pdf

📄 W-9 Form:
https://storage.googleapis.com/msgsndr/86atYDYiUbTRbf1daK9c/media/685e73de79ce074477858a27.pdf

* Upload The Filledout Forms Here ⬇

Upload Files

Acknowledgment and Signature

Signature

Clear

Date Signed

I agree to the terms & conditions and certify that the information submitted is true and correct to the best of my knowledge. I understand any falsely submitted information can lead to termination or prevent lease operation. *

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