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DF - 6 DRIVER STATEMENT OF ON-DUTY HOURS For Newly Hired Drivers INSTRUCTION Motor carriers when using a driver for the first time shall obtain from the driver a signed statement giving the total time on-duty during the immediately preceding 7 days and time at which such driver was last relieved from duty prior to beginning work for such carrier. Rule 395. 8 j 2 Federal Motor Carrier Safety Regulations. NOTE Hours for any compensated work during the preceding 7 days including work for a non-motor carrier entity must be recorded on this form. Driver Name Print Social Security Number Driver s License State Number Class Endorsement s Restriction s Type of License Issuing State DAY yesterday DATE HOURS WORKED TOTAL HOURS I hereby certify that the information given above is correct to the best of my knowledge and belief and that I was last relieved from work at A. M. P. M. On Time Day Month Year Driver s Signature Date DRIVER CERTIFICATION FOR OTHER COMPENSATED WORK INSTRUCTIONS When employed by a motor carrier a driver must report to the carrier all on-duty time including time working for other employers. DF - 6 DRIVER STATEMENT OF ON-DUTY HOURS For Newly Hired Drivers INSTRUCTION Motor carriers when using a driver for the first time shall obtain from the driver a signed statement giving the total time on-duty during the immediately preceding 7 days and time at which such driver was last relieved from duty prior to beginning work for such carrier. Rule 395. 8 j 2 Federal Motor Carrier Safety Regulations. NOTE Hours for any compensated work during the preceding 7 days including work for a non-motor carrier entity must be recorded on this form* Driver Name Print Social Security Number Driver s License State Number Class Endorsement s Restriction s Type of License Issuing State DAY yesterday DATE HOURS WORKED TOTAL HOURS I hereby certify that the information given above is correct to the best of my knowledge and belief and that I was last relieved from work at A. M. P. M. On Time Day Month Year Driver s Signature Date DRIVER CERTIFICATION FOR OTHER COMPENSATED WORK INSTRUCTIONS When employed by a motor carrier a driver must report to the carrier all on-duty time including time working for other employers. The definition of on-duty time found in Section 395. 2 paragraphs 8 and 9 of the Federal Motor Carrier Safety Regulations includes time performing any other work in the capacity of or in the employ or service of a common contract or private motor carrier also performing any compensated work for any nonmotor carrier entity. check one Are you currently working for another employer Yes No At this time do you intend to work for another employer while still employed by this company employed with this company if I begin working for any additional employer s for compensation that I must inform this company immediately of such employment activity. Rule 395. 8 j 2 Federal Motor Carrier Safety Regulations. NOTE Hours for any compensated work during the preceding 7 days including work for a non-motor carrier entity must be recorded on this form* Driver Name Print Social Security Number Driver s License State Number Class Endorsement s Restriction s Type of License Issuing State DAY yesterday DATE HOURS WORKED TOTAL HOURS I hereby certify that the information given above is correct to the best of my knowledge and belief and that I was last relieved from work at A. M. P. M. On Time Day Month Year Driver s Signature Date DRIVER CERTIFICATION FOR OTHER COMPENSATED WORK INSTRUCTIONS When employed by a motor carrier a driver must report to the carrier all on-duty time including time working for other employers. .

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