Name: JJ Keller 9620 Safety Performance History Records Request - Snap-Out Format - Snap-out format, carbon copy, 8-1/2" x 11-3/4"
SKU: 9620
Price: 11.7 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

Snap-out format

Three plies

Carbon copy

Measures 8-1/2" x 11-3/4"

Imprinting available. Call toll-free for pricing.

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.