Owner Operator Driver Application - LynnLee Enterprises of SC, LLC
Complete this FMCSA compliant application to lease your truck with LynnLee Enterprises. Please provide 10 years of continuous employment history and consent to DOT drug screening and background checks.
Applicant Full Name
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First Name
Last Name
Date Of Birth
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Month
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Day
Year
Date
Social Security Number
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Phone Number
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Please enter a valid phone number.
Email Address
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example@example.com
Please List All Addresses You Have Lived At For The Past 3 Years, Starting With Your Current Address. (List Street Number, Street Name, City State, And Zip On Each Address)
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Driver License Number
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State Of Issue
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Street Addres
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Issued
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Month
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Day
Year
Date
Date Of Expiration
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Month
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Day
Year
Date
License Type
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Please Select
Class A CDL
Class B CDL
Class C CDL
Class D Regular Driver License
List All Licenses Held In Other States Within Last 3 Years. Include License Number, State Of Issue, And Dates Of Issuance, And Expiration (If None Type “N/A” In Each Of The Boxes Below)
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If More Space Is Needed, Send Separate Email With Additional License Details Attached To service@golynnlee.com With “Additional License Details” In The Subject Line. In The Body Include Your Name, Date Of Birth, And License Details.
Add Endorsements (If Any)
Doubles/Triples
Hazmat
Tanker
School Bus (Passenger)
None
In The Last 3 Years, Have You Been Involved In Any Motor Vehicle Accidents Resulting In Injury Or Death?
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Yes
No
If So, Were You At Fault? (Regardless Of The Vehicle Type You Were Operating When The Incident Occurred.)
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Yes
No
How Many Moving Violations Have You Had In The Last 5 Years? (If None, Type “N/A”) In The Box Below
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Please Describe Moving Violations If They Were Indicted. Include The Dates, City/State, Nature Of The Violation(s) And Any/All Points On Your License As A Result. (If None, Type “N/A” In The Box)
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How Many Non Moving Violations Have You Had Within The Last 5 Years? (If None, Type “N/A” In The Box Below)
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Please Describe Any Non Moving Violations If They Were Indicted. Include The Dates, City/State, Nature Of The Violation(s) ETC... (If None, Type “N/A” In The Box)
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Any DUI’s OR DWI’s Within The Last 10 Years? (Any DUI’s OR DWI’s Beyond 10 Years Will Be Evaluated On A Case By Case Basis)
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Yes
No
Has Your License Ever Been Suspended, Revoked Or Denied?
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Yes
No
If You Said Yes, Please Explain Below. (Include Dates, And Reasons) If None Type “N/A” Below
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Most Recent Employment History (Last 3 Years)
Employer Name
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Employer Address
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Job Title / Position
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Employment Period (Start and End Date)
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Did this employment involve operating a commercial motor vehicle?
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Yes
No
Duties and Responsibilities
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Additional Employment History (Previous 7 Years)
Employer Name
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Employer Address
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Job Title / Position
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Employment Period (Start and End Date)
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Did this employment involve operating a commercial motor vehicle?
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Yes
No
Duties and Responsibilities
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Please ensure there are no gaps in your employment history for the entire 10-year period.
Equipment Description (Include Make, Model, Year & VIN# For All Vehicles In Your Fleet, Including Trucks, And Trailers)
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Add A Picture Of Your Equipment
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I Acknowledge That My Vehicle's Inspection, IRP/IFTA/2290 And All Other Legal Requirements Are Current And Compliant In Accordance With The Rules And Regulations Of The FMCSA, And My Base State. Furthermore, I Acknowledge That I Am Solely Responsible For Maintaining My Vehicles Legal Requirements In Accordance With The LynnLee Enterprises of SC, LLC Company Policy
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I Acknowledge
Consent for DOT Drug Screening and Background Check
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I hereby consent to a DOT drug screening and background check (including a clearinghouse check) as required by LynnLee Enterprises of SC, LLC, and the FMCSA.
Applicant Signature
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