Phillips Premier Transportation LLC

  • Driver Information
  • License & Experience
  • Accidents
  • Employment
  • Finish

Application for Phillips Premier Transportation LLC

To fill out this application, you will need to know the following:
  1. Social Security Number
  2. Home address history for the past 3 years
  3. Current driver license number and driver license history for the past 3 years
  4. Employment history up to 10 years
  5. History of traffic accidents, violations and/or convictions from the last 3 years
Text Message (SMS) Notice

By continuing, you consent to receive SMS text messages from Phillips Premier Transportation LLC and its affiliates, for purposes such as reminders about expiring documents or other essential notifications related to employment requirements. You may opt out at any time by texting "STOP" to unsubscribe.

To learn more about our SMS policy, Click Here

Driver Info

List residence for previous 3 years.

Same as Above

List all driver licenses held within the last 3 years. Enter your first and last name exactly as it appears on your license.

No person who operates a commercial motor vehicle shall at any time have more than one driver’s license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years;


Accidents/Crashes Previous 3 Years

Have you had any accidents/crashes in the last 3 years? * Yes No

Moving Traffic Violations Previous 3 Years

Have you had any traffic violations in the last 3 years? * Yes No

Forfeitures Previous 3 Years

Pre-Employment Employee Alcohol & Drug Test Statement

49 CFR Part 40.25(j) states, as the employer, you must 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 covered 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 successful completion of the return-to-duty process required in 49 CFR Subpart O.

Yes No

Yes No N/A

List all employers for the previous 3 years

and addtional 7 Years if you have driven a commerical vehicle previously.

The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.


This certifies that this application was completed by me, the above disclosures & policies were read and agreed to by me, including the SMS texting policy available here, and that all entries on the application and information in it are true and complete to the best of my knowledge.

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