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This document is a request form used to obtain information about an applicant's safety performance history from their previous employer as required by federal regulations.
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How to fill out request for information and

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How to fill out REQUEST FOR INFORMATION AND SAFETY PERFORMANCE HISTORY RECORDS REQUEST FROM PREVIOUS EMPLOYER

01
Obtain the REQUEST FOR INFORMATION AND SAFETY PERFORMANCE HISTORY RECORDS REQUEST form from your prospective employer or their website.
02
Fill in your personal details including your full name, address, and contact information.
03
Provide your Social Security Number (if required) and dates of employment with the previous employer.
04
Complete the section regarding the purpose of the request, specifying that it's for safety performance history records.
05
Sign and date the form to authorize the release of your information.
06
Submit the completed form to your previous employer's designated contact or department.

Who needs REQUEST FOR INFORMATION AND SAFETY PERFORMANCE HISTORY RECORDS REQUEST FROM PREVIOUS EMPLOYER?

01
Job applicants seeking a position that requires verification of safety performance history from previous employers.
02
Employers conducting background checks on potential hires to ensure compliance with safety regulations.
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It is a formal document used by employers to request safety performance history and information about a prospective employee from their previous employers, particularly in the transportation industry.
Employers are required to file this request when hiring new drivers or employees in safety-sensitive positions to comply with regulatory requirements.
To fill out this request, you need to provide the necessary details such as the employee's previous employment information, the time frame for which the records are requested, and any specific safety performance aspects you wish to inquire about.
The purpose is to gather information about a candidate's prior safety performance to ensure that they meet the necessary safety standards and regulations for employment.
The report must include details such as safety violations, accidents, and any substance abuse issues related to driving or safety-sensitive job performance.
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