PRIOR EMPLOYER VERIFICATION INQUIRY
Driver safety history and employment inquiry form · 49 CFR 391.23
| Driver Name | Driver ID | CDL Number |
|---|
| Alex Kim | DRV-003 | DLN-00003 |
| Address | Phone | Email |
|---|
| 780 Peachtree St, Atlanta, GA 30309 | 404-347-8293 | alex.kim@boftransport.com |
| Prior Carrier Name | Employment Period | Reason for Leaving |
|---|
| Northline Freight LLC | 2022-01 to 2024-09 | Career advancement |
| Accident History Provided | Drug/Alcohol Violations | Eligible for Rehire |
|---|
| No reportable incidents in previous 36 months | No violations reported | Yes |
David Romero
Delta Advanced Trucking, Inc. Safety Officer Signature
Ryan Cooper
Prior Carrier Representative Signature
Alex Kim
Driver Consent Signature · 2026-05-12