Truck Driver Employment Application

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First Name * Required
Last Name
Comments
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Current Address

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Previous Addresses

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EXPERIENCE AND QUALIFICATIONS - OTHER

TRANSFERS

TERMINATION OF EMPLOYMENT

ACCIDENT RECORD FOR THE PAST 3 YEARS. IF NONE, WRITE NONE

OTHERWISE PLEASE DESCRIBE THE NATURE OF THE ACCIDENT(S) INCLUDING DATES, FATALITIES AND INJURIES

TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS) IF NONE, WRITE NONE

EXPERIENCE AND QUALIFICATIONS - DRIVER LICENSES

STATE / TYPE / EXPIRATION DATE

SECTION I MOTOR VEHICLE DRIVER CERTIFICATION OF VIOLATIONS

I certify that the following is a true and complete list of traffic violations (other than parking violations) which I have been convicted or forfeit bond or collateral during the past 12 months.

Date  /  Offense / Location / Type of  Vehicle Operated

 

If no violations are listed above, I certify that I have not been convicted or forfeited bond or collateral on account of any violation required to be listed during the past 12 months.

 

(Date of Certification)

 

Motor Carrier's Name / Address/ City / State / Zip

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5
 
Wayne 

Oct 25 2020 


The piano movers, Danny Joe and Thane, were professional from start to finish. Within thirty minutes they had wrapped the piano bench, the music stand, and wrapped the piano and lifted it onto a dolly. They rolled all of this out of the apartment, down the hallway onto the elevator, down 10 floors to the basement, down the hallway through three sets of double doors to the awaiting box truck liftgate. The piano was secured for the move to Atlanta and delivered the next day. Having moved our piano numerous times over the years I would highly recommend letting the pros do it and particularly Modern Piano for a worry-free pickup and delivery.