Apply to Drive With LCL

Commercial Driver Application for Employment

This is the official Lancaster Commercial Logistics LLC driver application, prepared for use in the Driver Qualification File (DQF) under 49 CFR §391.21. Complete every applicable section. Your submission becomes your applicant record and begins your driver qualification review.

Company & Applicant Information

Prepared for use in the Driver Qualification File (DQF) — 49 CFR §391.21.

Company nameLancaster Commercial Logistics LLC

Company address573 W Lemon St #2, Lancaster, PA 17603

USDOT number7119856

MC numberMC-70696572

Applicant full legal name

Date of birth

Telephone

SSN

Current address

City

State

ZIP

Position applied for

The position is the equipment you're applying to drive — it is separate from the license class you hold (Section 3). You may apply for a Non-CDL position even if you hold a CDL.

Residence History — Preceding 3 Years

List every address where you have lived over the past three years.

Entry 1

Street address

City

State

ZIP

From

I currently live here

Driver License / Permit Information

List every unexpired CMV license or permit you hold.

Entry 1

Issuing authority

License / permit no.

Class / type

Endorsements

Expiration

Other unexpired CMV license / permit, if any

Carrier verification: license information is verified against your current record, and LCL verifies that the license class is appropriate for the CMV assigned before dispatch.

Motor Vehicle Operating Experience

List actual equipment operated — straight/box truck, tractor-semitrailer, bus, full/pole trailer, or other. Do not list equipment you have not operated.

Entry 1

Equipment / vehicle type

From

Approx. experience

States / areas operated

Motor Vehicle Accidents — Preceding 3 Years

List all motor vehicle accidents over the past three years. If none, leave blank.

Entry 1

Date

Nature of accident

Fatalities

Injuries

Motor Vehicle Violations — Preceding 3 Years

List all traffic violations and convictions over the past three years. If none, leave blank.

Entry 1

Date

Violation / conviction

Location / state

Disposition

License Denial / Revocation / Suspension

Has any license, permit, or privilege to operate a motor vehicle ever been denied, revoked, or suspended?

Employment History — Preceding 3 Years

Complete each employer with dates, address, reason for leaving, and DOT / FMCSR status.

Entry 1

Employer

Employer address

Position / duties

Reason for leaving

From

I currently work here

Employment subject to the FMCSRsDOT safety-sensitive (Part 40)

Additional Employment / CMV Operator History

If applicable, provide additional prior employers for which you operated a commercial motor vehicle.

Certification & Authorization

I certify that this application was completed by me and that all entries on it and information contained in it are true and complete to the best of my knowledge. I understand that providing false, incomplete, or misleading information may affect my qualification to operate a commercial motor vehicle. I authorize Lancaster Commercial Logistics LLC to make the investigations and inquiries permitted or required by applicable federal motor carrier safety regulations for purposes of determining my qualifications and maintaining a Driver Qualification File, including inquiries concerning my employment, driving record, and other information lawfully required for driver qualification.

I have read and agree to the certification and authorization above.

Applicant signature (type your full name)

Date

Your submission becomes your applicant record in the LCL Driver Qualification workflow and is reviewed by our safety team per FMCSA requirements.