Driver Qualification · Free Form
Annual MVR Review Form
Document the annual driving-record review, the records considered, and the reviewer’s findings without collecting unnecessary Social Security numbers.
Who It’s For
Carriers reviewing driver records.
How to Use It
Request the applicable licensing records, review the driver’s safety history, and document the result. Keep the completed review note and MVR evidence in the driver’s qualification file. This worksheet records the carrier’s review; it does not automatically determine whether a driver is qualified.
What’s Included
- MVR source and date fields
- Safety-history review prompts
- Reviewer determination and follow-up
If the evidence is incomplete or suggests disqualification, resolve it before assigning driving. A signed note alone does not establish qualification.
Put It into Practice
Need help applying this to your operation? Build a driver-specific DQ checklist.
Related Downloads
Official References
Check the applicable requirements alongside your company procedures.
Using This Download
Is this a fillable PDF?
This is a printable 1-page PDF. Complete it by hand after printing, or add text with a PDF editor. It does not contain interactive form fields.
Can MSM customize it for our company?
Yes. MSM clients can ask their MSM team to adapt the resource to company procedures, reporting contacts, equipment, and branding. The standard public download is available to everyone.
Reviewed October 26, 2026. These resources support U.S. trucking safety work. Apply the rules, exceptions, equipment instructions, and state requirements relevant to your operation. A completed form does not by itself establish compliance.