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(888) 312-8812 Login SignupJJ KELLER 9647 Confidential All-In-One Driver Qualification Packet (Single Copy) - File Packet
$4299
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Due to limited availability, we will confirm your order and notify you within 1 business day.
JJ KELLER 9647 Part Description
Manufacturer
Alert: Regulation Change to the Medical Examination Report Form, MCSA–5875 - Effective September 7, 2021
The updated form includes an OMB expiration date of 11/30/2021. As a result, we expect additional form changes from the OMB in the future.
- Allows you to keep Alcohol & Drug Forms, Safety Performance History Forms and Driver Qualification Forms secure and in one convenient location
- Each file packet includes a 9-1/2" W x 11-3/4" file folder and the following forms:
Driver Qualification
- (1) Driver Qualification File Contents Sheet - Bond (*426-F-P)
- (1) Driver's Application for Employment - Bond (691)
- (1) Request For Check of Driving Record - Bond (*506540)
- (1) Medical Examination Report - Bond (47375)
- (1) Medical Examiner's Certificate - Laminated Wallet Card (47379)
- (1) Medical Examiner's National Registry Verification - Bond (27033)
- (1) Record of Road Test - Bond (652)
- (1) Certification of Violations/Annual Review of Driving Record - Bond (3685)
- (1) Driver's Statement of On-Duty Hours-New Hire - Bond (3687)
- (1) Certification of Compliance with Driver License Requirements - Bond (1617)
- (1) Employment Eligibility Verification I-9 - Bond (50306)
- (1) Certification of Road Test Pocket Card (006-BC)
- (1) Driver Qualification and Identification Certificate Pocket Card (007-BC)
- (1) Checklist for Qualification of New Drivers - Bond (*506541)
- (1) Driver Record Card (3211)
Alcohol and Drug
- (1) Previous Pre-Employment Employee Alcohol & Drug Test Statement - 2-Ply Snap-out (6801)
- (1) Alcohol and Drug Records Request - 3-Ply Snap-out (6826)
- (1) Alcohol and Drug Employee's Certified Receipt - 2-Ply Snap-out (6793)
- (1) Alcohol and/or Drug Test Notification - 2-Ply Snap-out (3048)
- (1) Drug Test Results - 4-Ply Snap-out (6794)
- (1) Observed Behavior Reasonable Suspicion Record - 3-Ply Snap-out (7218)
- (1) U.S. Department of Transportation Alcohol Testing Form - 3-Ply Snap-out (6849)
- (1) Federal Drug Testing Custody and Control Form - 5-ply Continuous Pinfed (6520)
- (1) Alcohol and Drug Recordkeeping Log - Bond (*001-F-P)
Safety Performance History
- (3) Safety Performance History Records Request - 3-ply Snap-out (9620)
- (1) Previous Employee Safety Performance History - Bond (9619)
*Not sold separately
Interested in a license to use these forms electronically?
For a quote to use these forms electronically, such as on your company intranet, or with form-fillable fields, contact us at customsolutions@jjkeller.com or 1-800-327-6868 to discuss. Learn more.
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JJ KELLER 9647 Manufacturer Information
JJ Keller® is an industry expert in safety and compliance. It provides organizations of all sizes with the right tools and expert advice to create productive, safe, and compliant workplaces. While it does offer managed and consulting services regarding safety and compliance for DOT regulations, it also supplies a wide range of training materials and tools and a comprehensive list of digital and printed publications, forms, and supplies. DOT compliance for fleets has never been easy with JJ Keller. Its wide assortment of decals, placards, and flags helps keep employees and drivers safe and in compliance while on the job.
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