DOT Application

Thank you for your interest, driver! We value your time. Please fill out the information below and we will be in touch.

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Step 1 of 8 - Contact Information

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Name*

First Last

Email*

Phone*

Preferred method of contact*

Text

Call

What driving position are you applying for?*

Local (home every night)

Local flexible (OTR 1-2 night per week, weekends home)

Regional (Mon-Fri OTR, weekends home)

2-3 weeks OTR

3+ weeks OTR

Years of commercial driving experience?*

Less than 1 year

1-2 years

2-4 years

5+ years

What king of truck can you drive?*

Manual only

Automatic only

Manual preferred

Automatic preferred

Both

Owner Op

Date of birth*

Social Security Number*

Emergency Contact*

Name

Phone

Relationship

Current address*

Street Address Address Line 2 City State ZIP Code

Lived at this residence for 3 years or more?

Yes

Previous address*

Street Address Address Line 2 City State ZIP Code

Add 2nd Previous address

+ Add Previous address

Previous address*

Street Address Address Line 2 City State ZIP Code

Add 3rd Previous address

+ Add Previous address

Previous address*

Street Address Address Line 2 City State ZIP Code

Are you legally eligible to work in the United States?*

Yes

Can you read, write, speak and understand English?*

Yes

Have you ever tested positive, or refused to test on a pre-employment drug or alcohol test by an employer to whom you applied, but did not obtain safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules in past three years, or have you ever tested positive or refused to test on any DOT-mandated drug or alcohol test?*

Yes

Can you provide documentation, if requested, that confirms successful completion of the DOT return to duty process?*

Yes

Current license class*

Current license state*

State

Current license number*

Current license expiration*

Do you have endorsements?*

Yes

Current license endorsements*

T - Double/Triple Trailer

N - Tanker

H - Hazardous Materials

X - Combo Tanker and HazMat

P - Passenger

Other

Any additional information

Add any additional licenses

+ Additional License

Previous license class*

Previous license state*

State

Previous license number*

Previous license expiration*

Do you have previous license endorsements?*

Yes

Previous license endorsements*

T - Double/Triple Trailer

N - Tanker

H - Hazardous Materials

X - Combo Tanker and HazMat

P - Passenger

Other

Any additional information

+ Additional License

Previous license class*

Previous license state*

State

Previous license number*

Previous license expiration*

Do you have previous license endorsements?*

Yes

Previous license endorsements*

T - Double/Triple Trailer

N - Tanker

H - Hazardous Materials

X - Combo Tanker and HazMat

P - Passenger

Other

Any additional information

+ Additional License

Previous license class*

Previous license state*

State

Previous license number*

Previous license expiration*

Do you have previous license endorsements?*

Yes

Previous license endorsements*

T - Double/Triple Trailer

N - Tanker

H - Hazardous Materials

X - Combo Tanker and HazMat

P - Passenger

Other

Revoked licenses, permits or privileges*

Has any license, permit or privilege ever been denied, suspended or revoked for any reason?

Yes

Please explain (include dates and details)*

Driving convictions*

Have you ever been convicted of driving during license suspension or revocation, or driving without a valid license or an expired license, or are any charges pending?

Yes

Please explain (include dates and details)*

Drug and alcohol convictions*

Have you ever been convicted for any alcohol or controlled substance related offense while operating a motor vehicle, or are any charges pending?

Yes

Please explain (include dates and details)*

Please list any/all moving violations or traffic convictions within the past 3 years (whether in a personal or commercial vehicle)

+ Add Violation

Violation date*

Charge / Description*

State*

State

Were you in a commercial vehicle?*

Yes

Penalty / Fine (select all that apply)*

Fine

Suspension

Revocation

Community Service

Other

Add Violation

+ Add Violation

Violation date*

Charge / Description*

State*

State

Were you in a commercial vehicle?*

Yes

Penalty / Fine (select all that apply)*

Fine

Suspension

Revocation

Community Service

Other

Add Violation

+ Add Violation

Violation date*

Charge / Description*

State*

State

Were you in a commercial vehicle?*

Yes

Penalty / Fine (select all that apply)*

Fine

Suspension

Revocation

Community Service

Other

Please list all motor vehicle accidents in which you were involved in the past 3 years

+ Add Accident

Accident information

Date of accident / incident*

City*

City

State*

State

Were you in a commercial vehicle?*

Yes

Any injuries or fatalities?*

Yes

Anyone towed?*

Yes

Were you ticketed as a result of the accident?*

Yes

Accident details*

Was this accident preventable?*

Yes

Please list all motor vehicle accidents in which you were involved in the past 3 years

+ Add Accident

Accident information

Date of accident / incident*

City*

City

State*

State

Were you in a commercial vehicle?*

Yes

Any injuries or fatalities?*

Yes

Anyone towed?*

Yes

Were you ticketed as a result of the accident?*

Yes

Accident details*

Was this accident preventable?*

Yes

Please list all motor vehicle accidents in which you were involved in the past 3 years

+ Add Accident

Accident information

Date of accident / incident*

City*

City

State*

State

Were you in a commercial vehicle?*

Yes

Any injuries or fatalities?*

Yes

Anyone towed?*

Yes

Were you ticketed as a result of the accident?*

Yes

Accident details*

Was this accident preventable?*

Yes

Upload your resume (optional)

Max. file size: 20 MB.

Fill out your employment

Please provide 3 years of work history. In addition, please identify any employers for whom you have operated a commercial motor vehicle over the past 10 years. Your work history should include any military service, driving schools, and periods of unemployment, as applicable.

Eastwest Transportation requires individuals applying for a commercial driving position to provide at least 3 years of their employment history before continuing. Please account for the entire 3 years.

Add Employer 1

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Was the job designated as a safety sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substance testing requirements as required by 49 CFR Part 40?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 2

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 3

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 4

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 5

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 6

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 7

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 8

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 9

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Employer 10

+ Add Employer

Employer

Company name*

Is this your current employer?*

Yes

Start Date*

End Date*

Reason for leaving?*

Position held

Did you operate a commercial motor vehicle?*

Yes

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Type of work performed (select all that apply)

Local

Regional

OTR

Equipment operated during employment (select all that apply)*

Belly Dump

Beverage Trailer

Cabover Tractor

Car Hauler

Cargo Van

Chassis Trailer

Concrete Mixer

Container

Conventional Tractor

Cube Van

Day Cab

Doubles

Dry Van

Dump Truck - Single

Dump Truck - Tandem

Dump Truck - Tri-Axle

End Dump

Flatbed

Flatbed - Curtain Side

Flatbed - Step Deck

Food Service

Heavy Haul

Hopper Bottom Trailer

Intermodal

Liftgate

Log Trailer

Motor Coach Bus

Reefer

Rolloff

School Bus

Semi Tractor

Shuttle Bus

Side Dump Trailer

Sleeper Tractor

Sprinter Van

Step Deck

Straight Truck Manual/Automatic

Straight Truck Split Shift

Tanker - Dry

Tanker - Liquid

Tanker - Pneumatic

Triples

Vac Truck

Yard Spotter

Other

Add Driving School 1

+ Add Driving School

Driving school

School name*

Start Date*

End Date*

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Add Driving School 2

+ Add Driving School

Driving school

School name*

Start Date*

End Date*

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Add Driving School 3

+ Add Driving School

Driving school

School name*

Start Date*

End Date*

While employed here, were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?*

Yes

Add Unemployment 1

+ Add Unemployment

Unemployment period

Start Date*

End Date*

Details related to unemployment period*

Add Unemployment 2

+ Add Unemployment

Unemployment period

Start Date*

End Date*

Details related to unemployment period*

Add Unemployment 3

+ Add Unemployment

Unemployment period

Start Date*

End Date*

Details related to unemployment period*

Add Military Service 1

+ Add Military Service

Military service

Branch of Service*

Army

Air Force

Marines

Navy

Coast Guard

National Guard

Merchant Marines

Start Date*

End Date*

Rank at discharge*

Did you operate heavy equipment/machinery?*

Yes

Did you receive an honorable discharge?*

Yes

Please explain*

Add Military Service 2

+ Add Military Service

Military service

Branch of Service*

Army

Air Force

Marines

Navy

Coast Guard

National Guard

Merchant Marines

Start Date*

End Date*

Rank at discharge*

Did you operate heavy equipment/machinery?*

Yes

Did you receive an honorable discharge?*

Yes

Please explain*

Add Military Service 3

+ Add Military Service

Military service

Branch of Service*

Army

Air Force

Marines

Navy

Coast Guard

National Guard

Merchant Marines

Start Date*

End Date*

Rank at discharge*

Did you operate heavy equipment/machinery?*

Yes

Did you receive an honorable discharge?*

Yes

Please explain*

Your Signature*

Completing this application is a step in the process of getting hired to drive for EastWest Transportation. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

My electronic signature above certifies that this application was completed by me and it is true and correct to the best of my knowledge.

Name

This field is for validation purposes and should be left unchanged.

DOT Application

Accident information

Accident information

Accident information

Fill out your employment

Employer

Employer

Employer

Employer

Employer

Employer

Employer

Employer

Employer

Employer

Driving school

Driving school

Driving school

Unemployment period

Unemployment period

Unemployment period

Military service

Military service

Military service

Contact Us

811 Clifton Ave, Clifton, NJ 07013

info@ewtransportation.com

(201) 210-8586