• Driver's Online Application

    Please complete the form below to apply for a position with us.
  • Thank you for your interest in Prime Coverage Group. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.

    In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.


    To fill out this form, you will need to know the following and upload necessary paper work:

    • Social Security Number
    • Home address history for the past 3 years
    • Current driver license number and driver license history for the past 3 years
    • Employment history up to 10 years
    • History of traffic accidents, violations and/or convictions from the last 3 years (including DUI or reckless driving conviction and license suspension)
    • Military history (if applicable)

    Required entry fields are followed by, meaning you must provide the requested information to continue. If you encounter any errors during this process and cannot continue, please contact us at 888-250-9575.

     

    Requirements

    To qualify with Prime Coverage Group, you must meet the following criteria:

    Valid commercial license with proper endorsements in the state of residence:

    • No current suspension or revocation
    • Work permit is not acceptable
    • A minimum of One and Half (1.5) years verifiable over the road experience
    • No serious** or disqualifying traffic violations within the last three (3) years
    • Excessive speeding, 15 mph over the posted speed limit
    • Reckless driving
    • Improper or erratic lane changes
    • Following too close
    • Hit and run
    • No more than three (3) moving violations in the past three (3) years
    • No more than one (1) moving violations in the past twelve (12) months
    • Only one (1) DOT reportable accident within the past three (3) years
    • No convictions for DWI for the past ten (10) years
    • No positive results for a controlled substance
    • No convictions for use, sale, or possession of any controlled substance
  • COMMERCIAL DRIVER APPLICATION

    FILL IN ALL BLANKS & PROVIDE ALL INFORMATION REQUESTED--PRINT OR TYPE

  •  - -
  • If your above address is less than 3 years continue listing them below to cover the previous 3 year period:

  •  -
  •  - -
  • Driver’s License Information: all licenses held, last 3 years:

  •  - -
  •  - -
  •  - -
  •  - -
  • Criminal Record

  • Felonies

  • Misdemeanors

  • DRIVING EXPERIENCE


    For each class of equipment, enter type of equipment (van, reefer, tank, etc.), start and end dates, and approximate number of total miles. If no experience in a class, enter "NONE".

  • EQUIPMENT (OWNER/OPERATORS ONLY)

     

    Equipment Description (Tractor)

  • PERSONAL REFERENCES


    List name, address, city, state, phone number, and relationship:

  • 0/10
  • Experience:

  •  - -
  •  - -
  • Experience (2):

  •  - -
  •  - -
  • Experience (3):

  •  - -
  •  - -
  •  - -
  • List all Traffic Violations Convictions, last 3 years: (If none, select No):

  •  - -
  •  - -
  •  - -
  • Have you ever had any driver license denied, suspended, revoked or canceled by any issuing state agency?

  • Employment History, last 10 years —account for gaps between employers: (If owner/operator, list carriers leased to)

  •  - -
  •  - -
  •  -
  •  - -
  •  - -
  •  -
  •  - -
  •  - -
  •  -
  • For driver applicants of commercial motor vehicles that require a Commercial Driver License (CDL) the applicant must disclose their controlled substance and alcohol status per the requirements of 49 CFR part 40.25(j).

     

    As a prospective driver employee, you have the right to review information provided by previous employers. You have the right to have errors in the information corrected by the previous employer(s) and for that previous employer(s) to re-send the corrected information to the prospective employer; the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.


    Driver employees who have previous Department of Transportation regulated employment history in the preceding three years, and wish to review previous employer provided investigative information, must submit a written request to the prospective emp loyer, which may be done at anytime, including when applying or as late as thirty (30) days after being employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five (5) business days of receiving the written request. If the prospective employer has not yet received the requested information from the previous employer(s), then the five (5) business day deadlines will begin when the
    prospective employer receives the requested safety performance history information. If the driver has not arranged to pick up or receive the requested records within thirty (30) days of the prospective employer making them available, the prospective motor carrier may consider the driver to have waived their request to review the records.

     

     

     

    Certification
    “I certify that this application was completed by me, and that all entries on it and information in it are true
    and complete to the best of my knowledge.”

     

     

  •  - -
  • TO BE COMPLETED BY THE EMPLOYER:

  • COMMERCIAL VEHICLE DRIVER APPLICANT
    Controlled Substance and Alcohol Questionnaire
    Pursuant to 49 CFR part 40.25(j)

    --------------------------------------------------------------

  •  - -
  •  -
  •  -
  •  - -
  • 49 CFR 40.25(j)

  •  - -
  • TO BE COMPLETED BY THE EMPLOYER:

  • The Federal Motor Carrier Safety Regulations require all previous employers of this applicant to respond to this request for information within 30 days. Failure to comply with this request is in violation of 49CFR 391.23 and 40.25, for which you may be prosecuted. Questions concerning the requirements of this regulation should be directed to the Minnesota Division Office of the Federal Motor Carrier Safety Administration at 651-291-6150, during business hours.

     

    TO:

  •  -
  •  -
  • I, hereby authorize to release to all records of employment, including assessments of my job performance, ability, and fitness, including the dates of any and all alcohol or drug tests, with confirmed results, and/or my refusal to submit to any alcohol and drug tests and any rehabilitation completion under direction of Substance Abuse Professional (SAP) and/or Medical Review Officer (MRO) to each and every company (or their authorized agents) making such request in connection with my application for employment with said company. I, hereby, release the above named company, and its employees, officers, directors, and agents from any and all liability of any type as a result of providing the following information to the below mentioned person and/or company.

  •  - -
  • REQUEST FROM:

  • INQUIRY INTO EMPLOYMENT HISTORY, PRECEDING 3 YEARS

     

    • Did applicant work for you as a

    ____________________________ from ____/____/____ to ____/____/____ YES or NO IF NO, please explain:


    _______________________________________________________________________


    • If employed as driver, please answer the following: Company

    Driver? ______ Owner/Operator? ______ Other? ____________________________


    Type of truck(s) and/or truck/tractor(s) operated:

    _______________________________________________________________________


    Commodities transported: ____________________________ Area of operations:

    ____________________________


    • Accidents? YES or NO IF YES, please give date(s) and brief description of each accident:


    _______________________________________________________________________


    • Why did this employee leave your company?


    _______________________________________________________________________


    • Would you re-employ this person? YES or NO IF NO, please explain:


    _______________________________________________________________________


    • Additional comments:


    _______________________________________________________________________

  • INQUIRY FOR ALCOHOL AND CONTROLLED SUBSTANCES INFORMATION, PRECEDING 2 YEARS

    • Alcohol tests with a result of 0.04 or greater? ………. YES or NO If yes,

    please give date(s): _______________________________________


    • Verified positive controlled substances test results? … YES or NO If yes,

    please give date(s): _______________________________________


    • Refusals to be tested? ………………………………… YES or NO If yes, please

    give date(s): _____________________________________________


    • Was rehabilitation completed as required? …………... YES or NO If yes,

    please give date(s): _______________________________________

     

  • Person providing the above information:

  • ANNUAL MOTOR VEHICLE DRIVER’S CERTIFICATION OF VIOLATIONS

  • In accordance with 49 CFR 391.27, I certify that the following is a true and complete list of traffic violations (other than parking violations) for which I have been convicted or forfeited bond or collateral during the past 12 months.

  •  - -
  • If no violations are listed above, I certify that I have not been convicted or forfeited bond or collateral on account of any violation required to be listed during the past 12 months.

  •  - -
  • Unauthorized Passengers

  • I understand that no passengers may ride in my tractor or in a company tractor without written authorization unless I am transporting someone to a clinic or hospital that needs immediate medical attention. I understand that the transportation of unauthorized passengers may result in the termination of my lease with Carrier and 1000$ fine.

  •  - -
  • I here authorize to obtain and send copy of my driving record to the address or fax number i have provided. I certify that all information provided by me pursuant to this agreement is true and accurate to the best of my knowledge and i have read, understand and agree to the terms of this agreement

  •  -
  •  - -
  • Upload the below paperwork's

    Please send the documents you couldn't upload via email to recruitment@primecoveragroup.com
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • For driver applicants of commercial motor vehicles that require a Commercial Driver License (CDL) the applicant must disclose their controlled substance and alcohol status per the requirements of 49 CFR part 40.25(j).

  • As a prospective driver employee, you have the right to review information provided by previous employers. You have the right to have errors in the information corrected by the previous employer(s) and for that previous employer(s) to re-send the corrected information to the prospective employer; the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information

     

    Driver employees who have previous Department of Transportation regulated employment history in the preceding three years, and wish to review previous employer provided investigative information, must submit a written request to the prospective emp loyer, which may be done at anytime, including when applying or as late as thirty (30) days after being employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five (5) business days of receiving the written request. If the prospective employer has not yet received the requested information from the previous employer(s), then the five (5) business day deadlines will begin when the prospective employer receives the requested safety performance history information. If the driver has not arranged to pick up
    or receive the requested records within thirty (30) days of the prospective employer making them available, the prospective motor carrier may consider the driver to have waived their request to review the records.

  •  - -
  • Certification

    “I certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.”

  • Should be Empty: