• MOTOR VEHICLE DRIVER'S CERTIFICATION OF VIOLATIONS

  • I certify that the following is a true and complete list of traffic violations (other than parking violations) for which I have been convicted or forfeited bond or collateral during the past 12 months. Type of Vehicle DateOffenseLocation Operated

  • Date #1
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date #2
     - -
    2 digit month, 2 digit day, 4 digit year

  • If no violations are listed above, I certify that I have not been convicted or forfeited bond or collateral on account of any violation required to be listed during the past 12 months.

  • Date of Certification
     / /
    2 digit month, 2 digit day, 4 digit year

  • BRAVO MOTOR CARRIERS INC, 9009 North East Loop Ste 200 Houston, TX 77029

    (Motor Carrier's Name and Motor Carrier's Address)

  • U.S. DEPARTMENT OF TRANSPORTATION MOTOR CARRIER SAFETY PROGRAM ANNUAL REVIEW OF DRIVING RECORD

  • This day I reviewed the driving record of the above-named driver in accordance with 391.25 of the Federal Motor Carrier Safety Regulations. I considered any evidence that the driver has violated applicable provisions of the Federal Motor Carrier Safety Regulations and the Hazardous Materials Regulations. I considered the driver's accident record and any evidence that he/she has violated laws governing the operation of motor vehicles, and gave great weight to violations, such as speeding, reckless driving and operation while under the influence of alcohol or drugs, that indicate that the driver has exhibited a disregard for the safety of the public. Having done the above, I find that.
  • Date of Review
     / /
    2 digit month, 2 digit day, 4 digit year
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  • Should be Empty: