Name: JJ Keller 9652 Safety Performance History Records Request - Padded Format - Padded format, 8-1/2" x 11"
SKU: 9652
Price: 16.99 USD
Availability: InStock

JJ KELLER part description

California Proposition 65 Warning

WARNING: This product can expose you to chemical which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov. (Read more)

Use to help satisfy 49 CFR §391.23(a)(2), (d), and (e), which require the prospective employer to obtain driver identification, employment and accident history, and alcohol and drug testing information from a driver/applicant's previous employers
Covers driver/applicant's authorization to release information; employment verification and accident information; and alcohol and drug test information
Padded format, 50 sheets per pad
Measures 8-1/2" W x 11" L

Interested in a license to use this form electronically?
For a quote to use this form electronically, such as on your company intranet, or with form-fillable fields, contact us at customsolutions@jjkeller.com or 1-800-327-6868 to discuss. Learn more.

JJ Keller® is an industry expert in safety and compliance. It provides organizations of all sizes with the right tools and expert advice to create productive, safe, and compliant workplaces. While it does offer managed and consulting services regarding safety and compliance for DOT regulations, it also supplies a wide range of training materials and tools and a comprehensive list of digital and printed publications, forms, and supplies. DOT compliance for fleets has never been easy with JJ Keller. Its wide assortment of decals, placards, and flags helps keep employees and drivers safe and in compliance while on the job.