Get Previous Employee Safety History Form 854 F

Filling out the Previous Employee Safety History Form 854 F online is essential for ensuring compliance with Department of Transportation regulations. This guide provides clear, step-by-step instructions to help you accurately complete each section of the form with confidence.

Follow the steps to fill out the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the digital editor.
2. Begin by entering the driver's identification details. Fill in the 'Name of Previous Employee' section with the full name of the individual. Then, provide their 'Social Security No.' and 'Date of Birth'. Specify the employment duration 'Employed from' and 'to' with the relevant dates.
3. Indicate whether the employee was a 'DOT Regulated Driver' or 'Non-DOT Regulated Driver' by marking the appropriate option.
4. In the ‘Previous Employer Information’ section, enter the 'Company Name', 'Contact Name', and the complete address, including 'Street', 'City, State, Zip'. Provide a 'Phone Number' and 'Email' for further correspondence.
5. Fill out the ‘Prospective Employer Information' by checking the box that indicates how the form was sent, such as 'Mailed', 'Faxed', 'Emailed', or 'Relayed by Phone', and provide the relevant details accordingly.
6. Complete the ‘Safety Performance History’ section. If applicable, provide details of any accidents that occurred during employment by listing the dates, locations, number of injuries, and fatalities. Check the option that applies to the vehicle types operated.
7. Address the 'Drug/Alcohol Testing' questions accurately. Indicate if the person was employed in a safety-sensitive function. Answer the questions about any drug or alcohol policy violations and provide any necessary remarks.
8. Finally, ensure the form is signed and dated at the end. This includes the title of the person filling out the form.
9. After completing the form, you can save the changes, download the form for your records, print a copy for physical submission, or share it directly with the prospective employer as needed.

Complete the Previous Employee Safety History Form 854 F online today to ensure accurate reporting and compliance.