Hours of Service · Free Form
Short-Haul Driver Time Record
Record daily reporting and release times, total on-duty hours, and supporting short-haul review information.
Who It’s For
Drivers and carriers using 395.1(e)(1).
How to Use It
Use this weekly form only after confirming the property-carrying driver qualifies under 49 CFR 395.1(e)(1). A separate page captures the prior seven days for first-time or intermittent drivers. Use the linked eligibility tool for other situations, including the distinct non-CDL exception.
What’s Included
- Weekly daily-time table
- Eligibility reminder
- Prior seven-day duty record
For this property-carrier exception: stay within 150 air miles, return to the normal reporting location and be released within 14 consecutive hours, and have at least 10 consecutive hours off duty between shifts. Applicable driving and cycle limits still apply.
*Driving hours help check the applicable driving limit. Total on-duty time must include all duty, not just driving. Enter actual release dates for overnight shifts and identify days off.
Retain required time records for 6 months. If a condition fails, determine the required record of duty status and ELD obligations for that day.
Provide actual total on-duty time for each of the preceding 7 days, including duty for other employers, and the time last relieved from duty. Do not fabricate hours or assume missing days were off duty.
Put It into Practice
Need help applying this to your operation? Check short-haul eligibility and build a timecard.
Related Downloads
Official References
Check the applicable requirements alongside your company procedures.
Using This Download
Is this a fillable PDF?
This is a printable 2-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.