Driver Application For Employment

1. Driver Profile

Full Legal Name (As it appears on CDL)

Mobile Phone

Current Home Address

*FMCSA requires 3 years of residency history.

Previous Addresses (Past 3 Years)

CDL License Number

License Class

Years of Professional Commercial Driving Experience

(Do NOT include CDL school hours)

⚠️ APPLICATION HALTED: Simpson’s Trucking requires a minimum of 2 years professional driving experience.

Equipment Experience (Select all that apply) Dump Truck
Tractor-Trailer / Lowboy
Flatbed / Roll-off
Tanker

Current Medical Examiner's Certificate (Med Card)?

Detailed Work History

Traffic Convictions (Past 3 Years)

Has your license ever been suspended or revoked?

FCRA Disclosure: I authorize Simpson’s Trucking & Grading Inc. to investigate my background... [Authorization Text]

Digital Signature (Full Legal Name)