*DOT requires this information F.M.C.S.R. 391.21(2)
In case of emergency notify (must be different then your home phone number)
Do not list relatives or former employers
If yes to the question above, please explain:
List ALL moving violations and accidents that have occurred in the last 5 years, regardless of vehicle type. Not including parking tickets.
Please list all driving or non-driving experience in the last 3 years.
According to DOT rules, you must provide up to 10 years of driving history, if you are so experienced.