Commercial Driver Licensing And Training Requirements Checklist Form
Complete this checklist to verify a commercial driver’s licensing and training readiness. Do not enter sensitive personal or financial information.
Driver’s Full Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Commercial Vehicle
*
Please Select
Tractor-Trailer
Straight Truck
Bus
Tanker
Hazardous Materials Vehicle
Other
Commercial Driver’s License (CDL) Status
*
Valid and Current
Expired
Suspended/Revoked
Not Applicable
Medical Certificate Status
*
Valid and On File
Expired
Not Provided
Drug and Alcohol Testing Compliance
*
Completed and Passed
Pending
Failed
Not Applicable
Completed Required Training Modules
*
Defensive Driving
Hours of Service (HOS)
Vehicle Inspection
Cargo Securement
Hazardous Materials (if applicable)
Other
Road Test/Skills Assessment Status
*
Completed and Passed
Scheduled
Not Attempted
Additional Notes or Comments
Assessor’s Name
*
First Name
Last Name
Submit
Should be Empty: