CDL Application LA Services

  • CDL Job Application Form

    Please Fill Out the Form Below to Submit Your Job Application!

  • LA Services is an Equal Opportunity Employer and committed to excellence through diversity. The application must be fully completed to be considered. Please complete each section in its entirety, even if you attach a resume.
  • Format: (000) 000-0000.
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  • No person who operates a motor vehicle shall at any time have more than one drivers license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license. The information listed below includes all licenses held for the past 3 years.
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  • Employment History

    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. If you need additional pages, please let us know.

  • Name of current employer   *   *  
    Phone number:   *   *   
    Address:   *   *   *   *   *   
    Position held   *
    Start date   Pick a Date*   End Date   Pick a Date*  
    Reason for leaving   *   
    Salary   *    

  • Name of 2nd (most recent) employer        
    Phone number:         
    Address:                  
    Position held   
    Start date   Pick a Date   End Date   Pick a Date  
    Reason for leaving      
    Salary       

  • Name of 3rd (most recent) employer        
    Phone number:         
    Address:                  
    Position held   
    Start date   Pick a Date   End Date   Pick a Date  
    Reason for leaving      
    Salary       

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  • To Be Read and Signed by Applicant

    I authorize you to make investigations (including contracting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the company.

  • I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23 I understand that I have the right to: a.) Review information provided by current/previous employers; b.) Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and c.) Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

  • This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.
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