DOT driver application

Upload required documents and fill out the application. Take clear pictures of all documents. CDL info is read automatically.

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Administrator prefill mode

Complete only what you know. You can save a prefill or send the driver a private application, PSP, or MVR/CDLIS link for their own completion and signature.

Drop Lanefinder files to auto-fill Drag the Lanefinder application, CDL, and medical-card PDFs here — or click to choose. They’re read in your browser and fill the form.

DOT Driver Application

1101 N Cleveland Ave Apt 14, Sioux Falls, SD 57103 · USDOT 4473629

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CDL
2Driving record
3Residence History
43yr Work History
510 yr Work History
6Review & sign

Administrator prefill

Complete what you know, then send the driver an incomplete application or a single consent for their own review and signature.

Admin key Driver email

Use the driver’s email, then choose what to send. The driver provides the remaining information and signs personally.

Take Photo/Upload

Back Side of CDL

Take a clear picture, and the application will automatically fill out most driver details for you.

Current CDL

Back Side of CDL * Take Photo/Upload Front Side of CDL * Used for OCR if the back cannot be read

Already have a file?Choose a CDL-back image or PDF

Waiting for CDL back

Applicant identity

49 CFR 391.21(b)(2)

First name * Middle name Last name * Date of birth * Social Security number * Email address Application date

Current address

49 CFR 391.21(b)(2)-(3)

Street address * City * State * Postal code * Living here since *

Current CMV license or permit

49 CFR 391.21(b)(5)

Issuing authority * License number * Class * Endorsements Restrictions Issue date * Expiration date *

Do you hold another unexpired motor-vehicle license or permit? *

Yes No

Previous CDL card

Your current card does not cover two continuous years. Add the previous card that covers the missing dates.

We found changes across license cards.

The newest issued credential was used for current values. Review the differences below.

I reviewed these differences and the current values are correct.

Medical examiner’s certificate — requested qualification document

Upload medical card * We’ll read the expiration date

Medical-card expiration * Upload a card to begin OCR.

For CDL drivers, the licensing-state MVR is the controlling medical-certification record when it conflicts with a paper card.

Review & sign

Review and Sign

Resolve what you can, save for later if needed, then review each authorization in order.

Requested consent

Authorization request

Review the requested form, acknowledge it, then sign below.

Application Review

Review before signing

Every completed item shows a green check. Missing or changed items can be edited now, saved for later, or submitted for Safety follow-up.

Your application summary will appear here.

Required notices and authorizations

Review one item at a time. Checking the acknowledgment closes it and opens the next item.

Your rights

If you had Department of Transportation-regulated employment during the preceding three years, Sigma Squared Transport Corporation will investigate information provided by prior employers.

You have the right to review information provided by prior employers.
You have the right to have errors corrected by the prior employer and the corrected information re-sent to Sigma Squared.
You have the right to have a rebuttal statement attached if you and the prior employer cannot agree on the accuracy of the information.

You may submit a written review request while applying, or as late as 30 days after you are employed or notified that employment was denied. Sigma Squared must provide received information within five business days of your request. Send requests to dispatch@sstransco.com.

Applicant: —

I received and reviewed this notice.

Prefer to print and sign?

Open printable form ↗Upload signed copy

THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS

IMPORTANT DISCLOSURE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

In connection with your application for employment with Sigma Squared Transport Corporation (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and acknowledge below:

I authorize Sigma Squared Transport Corporation (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report.

I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

Applicant: —

NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.

NOTICE: The prospective employment concept referenced in this form contemplates the definition of “employee” contained at 49 CFR 383.5. LAST UPDATED 2/11/2016.

I reviewed the disclosure and authorize Sigma Squared to obtain my PSP report.

Prefer to print and sign?

Open official printable PSP form ↗Upload signed copy

Required certification — 49 CFR 391.21(b)(12)

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

By checking the acknowledgments above and signing below, I apply the same electronic signature to the application certification and each checked authorization. The audit record will preserve the document versions, timestamp, application ID, and content digest.

Type full legal name * Date signed *

I certify and electronically sign the application and each checked authorization.

DOT driver application

DOT Driver Application

Back Side of CDL

Driving Record

Where have you lived?

Work History

Earlier Work History

Review and Sign

Authorization request

Review before signing

Your rights

Disclosure for consumer reports

Authorization

CDLIS and motor-vehicle record consent

IMPORTANT DISCLOSURE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

AUTHORIZATION

Your consent

Limited-query consent