Cdl driver evaluation form

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1. Select the number from the Evaluation Scale which best indicates your perception of that individual’s performance on each of the Criteria and enter it in the box labeled Performance Rating. 2. Multiply the Criteria times Performance Rating and enter results in the column labeled C x PR. 3. Add the column labeled C x PR. 4. 6. A Medical Evaluation Summary completed only by either a board qualified or board certified physiatrist (doctor of physical medicine) or orthopedic surgeon will be accepted. 7. A copy of the road test and road test certificate or a copy of both sides of . The original of the signed road test form and the original of the Certification of Road Test shall be retained in the driver qualification file of the person who was examined, and duplicate copies provided to the person examined. Section (e)(f)(g)(1)(2) of the Federal Motor Carrier Safety Regulations.

Driver Evaluation Road Test Form. D r i v e r: Date of Road Test: Observed by: Note: All of the skills tested are im portant to help prevent acci dents. Driver Forms. a. Employee Notice Forms. i. Employee Notice of Accident Form. ii. Employee Notice of Citation Form. iii. Employee Notice of Conviction Form. b. Temporary Authorization to Operate CDL Vehicle. c. Record of Employee Training. d. Driver Performance Evaluation Form. e. Prescription Medicine “Will/Will Not” Impair Form. f. New CMV. Medical Examinations. Insulin-Treated Diabetes Mellitus Assessment Form, MCSA Medical Examination Report (MER) Form, MCSA Medical Examiner's Certificate (MEC), Form MCSA CMV Driver Medication Form, MCSA (optional).

DRIVER RIDE-ALONG EVALUATION FORM. Instructions: This form is to be completed for ride-along evaluations and spot checks of drivers. Commercial Motor Vehicle Driver. Performance Evaluation Form Check each item that driver performs in a satisfactory manner. Montana state authorities reserve the right to reject any form that has been Applying for □ Class D (Regular driver) □ Intrastate CDL (Montana only).