Has any license, permit or privilege ever been denied, suspended or revoked for any reason? YesNo
Have you ever been convicted of driving during license suspension or revocation, or driving without a valid license or an expired license, or are any charges pending? YesNo
Have you ever been convicted for any alcohol or controlled substance related offense while operating a motor vehicle, or are any charges pending? YesNo
Have you ever been convicted of reckless driving, careless driving or careless operation of a motor vehicle, or are any charges pending? YesNo
Have you ever tested positive, or refused to test on a pre-employment drug or alcohol test by an employer to whom you applied, but did not obtain safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules in past three years, or have you ever tested positive or refused to test on any DOT-mandated drug or alcohol test? YesNo
