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Company name

Tab 5 of 16 - one per driver

Safety Performance History Inquiry

49 CFR 391.23(d)-(e), 391.53 (driver investigation history file)

Within 30 days of hire the carrier must ask every DOT-regulated employer of the past 3 years about the driver's accidents and drug and alcohol history, and keep the responses (or a record of each attempt) in a separate driver investigation history file (391.53), with access limited to the people involved in the hiring decision. Send one copy of this form per previous employer, with the driver's consent below. Record the date sent and the response or follow-up attempts.

This document is part of the paid packet. It prints filled in with your company details once the packet is purchased. The three free tabs - the cover index, the driver and equipment lists, and the automatic-failure self-check - are open to everyone.

Sections in this document:

  • Driver consent
  • To the previous employer
  • Accident history (391.23(d)(2)) - accidents as defined in 390.5 in the past 3 years
  • Drug and alcohol history (391.23(e)) - past 3 years
  • Previous employer certification
  • Record of attempts (keep in file if no response)

Prepared with CrewPapers (crewpapers.com), a product of AskEvo LLC - not a law firm, a consultant or a government agency. This document is a starting point that Company name has read, completed and adopted as its own. It cites the regulation each requirement rests on; confirm current rules at ecfr.gov. Version 1, checked September 2026. Printed ____________.

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