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Full Driver Application

Complete Driver Qualification Form

Complete this form if you are ready to provide CDL, medical card, DOT testing, and FMCSA Clearinghouse consent information.

Section 1

Applicant Information

Section 2

CDL Information

Section 3

Medical Card & DOT Information

Section 4

FMCSA Drug & Alcohol Clearinghouse Consent

FMCSA DRUG & ALCOHOL CLEARINGHOUSE CONSENT

I authorize Moontera LLC to conduct required FMCSA Drug & Alcohol Clearinghouse queries as permitted under 49 CFR Part 382, including pre-employment and annual limited queries.

I understand that if a limited query shows that information exists in the Clearinghouse, I may be required to log in to the FMCSA Clearinghouse portal and provide electronic consent for Moontera LLC to obtain a full query result.

I understand that refusal to provide required consent may prevent me from performing safety-sensitive duties, including operating a commercial motor vehicle.

APPLICANT CERTIFICATION

I certify that this application was completed by me and that all information provided is true, complete, and accurate to the best of my knowledge. I understand that false or misleading information may result in rejection of this application or termination.

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