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Home My Safety Planner (Chapters) Related Forms

This is an excerpt from FMCSA's Motor Carrier Safety Planner specific to your interests. As you navigate through the pages, pay close attention to any notes and highlights. Click here to read the entire Safety Planner and find more resources to help you comply with safety regulations.

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This library provides example forms and templates that you can use to demonstrate compliance with safety regulations. These documents provide guidance only, and in most cases, you are not required to use these exact forms. View the Federal Motor Carrier Safety Regulations for official information about what is required to demonstrate compliance.

Start by using the Compliance Questionnaire to quickly evaluate your business’s policies and procedures and identify ways that you can improve safety.

To print or download the forms listed below, first click the form name, then print once the form is displayed.

Form	Related Sections	Regulation
Compliance Questionnaire	All	All
Common Violations	5.1, 5.1.1, 5.1.10, 5.1.11, 5.1.12, 5.1.13, 5.1.14, 5.1.15, 5.1.16, 5.1.17, 5.1.2, 5.1.3, 5.1.4, 5.1.5, 5.1.6, 5.1.7, 5.1.8, 5.1.9, 5.2, 5.2.1, 5.2.2, 5.2.3, 5.2.4, 6.1, 6.1.1, 6.1.2, 6.1.3, 6.2, 6.2.1, 6.2.2, 6.2.3, 6.2.4, 6.2.5, 6.2.6, 6.2.7, 6.2.8, 6.2.9, 6.3, 6.3.1, 6.3.10, 6.3.11, 6.3.12, 6.3.2, 6.3.3, 6.3.4, 6.3.5, 6.3.6, 6.3.7, 6.3.8, 6.3.9, 6.4, 6.4.1, 6.4.2, 6.4.3, 6.4.4, 6.4.5, 6.4.6, 6.5, 6.5.1, 6.5.2, 6.5.3, 6.5.4, 6.5.5, 6.5.6, 6.5.7, 6.5.8, 6.5.9, 8.9	All
Accident Register	4.4, 4.4.1, 4.4.2, 4.4.3	390.15
Annual Report Form (Class 1 and Class 2 Motor Carriers of Property and Household Goods)	4.3, 4.3.1, 4.3.2, 4.3.3, 4.3.4	369.1-369.2
Annual Report Form MP-1 (Class 1 Motor Carriers of Passengers)	4.3, 4.3.1, 4.3.2, 4.3.3, 4.3.4	369.3-369.4
Annual Review of Driving Record	6.1, 6.1.1, 6.1.2, 6.1.3	391.25
Application for Mexican Certificate of Registration for Foreign Motor Carriers and Foreign Motor Private Carriers Under 49 U.S.C. 13902	9.0, 9.1, 9.1.1, 9.1.2, 9.1.3, 9.1.4, 9.2, 9.2.1, 9.2.2, 9.2.3, 9.2.4, 9.2.5, 9.3, 9.4, 9.5	368
Application to Register Mexican Carriers for Motor Carrier Authority to Operate Beyond U.S. Municipalities and Commercial Zones on the U.S.-Mexico Border	9.0, 9.1, 9.1.1, 9.1.2, 9.1.3, 9.1.4, 9.2, 9.2.1, 9.2.2, 9.2.3, 9.2.4, 9.2.5, 9.3, 9.4, 9.5	365, Subpart E
Bus Emergency Exits Inspection	5.2, 5.2.1, 5.2.2, 5.2.3, 5.2.4	396.3(a)(2)
Designation of Agents for Service of Process	9.0, 9.1, 9.1.1, 9.1.2, 9.1.3, 9.1.4, 9.2, 9.2.1, 9.2.2, 9.2.3, 9.2.4, 9.2.5, 9.3, 9.4, 9.5	366
Driver Qualification File Checklist	6.1, 6.1.1, 6.1.2, 6.1.3	391.51
Driver's Application for Employment	6.1, 6.1.1, 6.1.2, 6.1.3	391.21
Driver's Road Test Certificate or Equivalent	6.1, 6.1.1, 6.1.2, 6.1.3	391.31(f)
Driver's Vehicle Inspection Report	5.2, 5.2.1, 5.2.2, 5.2.3, 5.2.4	396.11
Federal Drug Testing Custody and Control Form	6.5, 6.5.1, 6.5.2, 6.5.3, 6.5.4, 6.5.5, 6.5.6, 6.5.7, 6.5.8, 6.5.9	382, Subpart C
Hour of Service Record for First Time or Intermittent Drivers	6.1, 6.1.1, 6.1.2, 6.1.3	395.8(a)(2)(ii)
Inquiry to State Agencies: Request for Driver's Motor Vehicle Record	6.1, 6.1.1, 6.1.2, 6.1.3	391.23(a)(1) and (b), 391.25(a) and (c)
Longer Combination Vehicle (LCV) Certificate Of Grandfathering	6.1, 6.1.1, 6.1.2, 6.1.3, 6.2, 6.2.1, 6.2.2, 6.2.3, 6.2.4, 6.2.5, 6.2.6, 6.2.7, 6.2.8, 6.2.9	380.111
Longer Combination Vehicle (LCV) Driver Training Certificate	6.2.8	380.401
Medical Examiner's Certificate	6.1, 6.1.1, 6.1.2, 6.1.3	391.43
Motor Carrier Identification Report	9.0, 9.1, 9.1.1, 9.1.2, 9.1.3, 9.1.4, 9.2, 9.2.1, 9.2.2, 9.2.3, 9.2.4, 9.2.5, 9.3, 9.4, 9.5	390.19T
Multiple-Employer Drivers	6.1, 6.1.1, 6.1.2, 6.1.3	391.63
North American Inspection Procedures	5.2, 5.2.1, 5.2.2, 5.2.3, 5.2.4	396.17
Pre-Employment Drug and Alcohol Questionnaire	6.1, 6.1.1, 6.1.2, 6.1.3	40.25(j)
Proof of Random Testing	6.5, 6.5.1, 6.5.2, 6.5.3, 6.5.4, 6.5.5, 6.5.6, 6.5.7, 6.5.8, 6.5.9	382.305
Safety Performance History - Correction of Errors Request	6.1, 6.1.1, 6.1.2, 6.1.3
Safety Performance History - Driver/Applicant Rebuttal	6.1, 6.1.1, 6.1.2, 6.1.3
Safety Performance History - Records Request	6.1, 6.1.1, 6.1.2, 6.1.3	391.23(a)(1) and (b)
U.S. DOT Alcohol Testing Form	6.5, 6.5.1, 6.5.2, 6.5.3, 6.5.4, 6.5.5, 6.5.6, 6.5.7, 6.5.8, 6.5.9	382, Subpart C
Vehicle Inspection, Repair, and Maintenance Record	5.2, 5.2.1, 5.2.2, 5.2.3, 5.2.4	396.3
Vehicle and Brake Inspector Qualifications	5.2, 5.2.1, 5.2.2, 5.2.3, 5.2.4	396.19 and 396.25

Disclaimer

This publication is distributed by the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). It is meant to serve as a guide only and the Agency does not assume responsibility for any omissions, errors, or ambiguity contained herein. The contents may not be relied upon as a substitute for the Agency’s published regulations.

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