• Commercial Motor Vehicle Driver Application

    Breaux Petroleum Products | Lockport, LA • Lake Charles, LA  | USDOT 230228
  • In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, gender, national origin, age, marital status, union affiliation, sexual orientation, the presence of a non-job related medical condition or handicap, or another category protected by law.

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  • GENERAL INFORMATION

  • EDUCATION

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  • DRIVING LICENSES FOR PAST 3 YEARS
    Complete for each license/permit

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  • DRIVING EXPERIENCE IN THE OPERATION OF MOTOR VEHICLES

  • ACCIDENT RECORD FOR THE PAST 3 YEARS

  • TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST 3 YEARS

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  • EMPLOYMENT HISTORY

    All applicant-drivers applying to operate a commercial motor vehicle as defined in Section 383.3 (requiring a CDL) of the Federal Motor Carrier Safety Regulations shall provide ten (10) years of employment history.

    Please list companies in reverse order starting with the most recent and leave no gaps in employment history.







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  • REQUEST FOR CHECK OF DRIVING RECORD

     In accordance with Section 391.23 and Section 391.25 of the Federal Motor Carrier Safety Regulations, we are required to make inquiry into the driving record during the preceding three years of every state in which an applicant-driver has held a motor vehicle operator’s license or permit during those three years.

  • Please note this form is secure and encrypted. However, if you do not feel comfortable inputting your personal information into the fields above, you can contact us directly at 985.532.3358.

  • APPLICATION CERTIFICATION

    By signing below, I hereby certify that this application was completed by me, and that all information is true and accurate to the best of my knowledge. In the event of my employment, I understand that any falsifications, misrepresentations, or omissions of fact may be grounds for dismissal. I also acknowledge that I am providing my personal information to Breaux Petroleum Products and their agents for the purposes of investigation as required by §391.23 and §391.25 of the Federal Motor Carrier Safety Regulations.

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