ABBA Global Corp

Personal Information

First Name *

MI

Last Name *

Are you older than 23? *

Yes

No

Phone *

Email *

Date Available *

Legal right to work in US? *

Yes

No

Current Address

City *

State *

CDL License Information

Do you have a valid CDL? *

Yes

No

State *

Expiration *

Equipment Information

Tractor/Power Unit

Year *

Make *

Model

Color

Trailer (if owned)

I own my trailer

Year

Make

Model

Color

DOT Preventive Maintenance Program

As owner operator, you must comply with preventive maintenance program mandated by DOT and insurance company.

I understand that:

• Ongoing preventive maintenance is required regularly (oil changes, lubrication, tire maintenance, brake services, filter changes, etc.)

• I must provide copies of service records to ABBA Global Corp

• Violating this program may result in termination

Recent Preventive Maintenance Completed *

Select all that apply

Oil Change

Lubrication

Tire Change

Brake Adjustment

Brake Change

Air Filters

Fuel Filter

Electrical

Transmission

Engine Work

When was last maintenance? *

1 Month

3 Months

1 Year

Employment History

List last 3 years of employment

Previous Employer 1

Company Name

Position

From Date

To Date

Reason for Leaving

Previous Employer 2

Company Name

Position

From Date

To Date

Reason for Leaving

Previous Employer 3

Company Name

Position

From Date

To Date

Reason for Leaving

Current Work Status

Currently working for another company? *

Yes

No

Will work before being dispatched? *

Yes

No

Last 7 days work hours

Clearinghouse Consent

I authorize ABBA Global Corp to conduct limited queries of the FMCSA Clearinghouse to determine whether drug or alcohol violation information exists.

This consent is valid until employment ends or I'm no longer subject to 49 CFR Part 382.

Background Authorization

I authorize ABBA Global Corp to obtain:

• Past Employment References (49 CFR 391.23)

• Driving Record History

• Criminal Background Records

Owner Operator Certification

I certify that:

• All information provided is true and complete.

• I authorize ABBA Global Corp to investigate my employment, criminal, driving, and medical history.

• I am responsible for maintaining my equipment per DOT requirements.

• I understand false information may result in discharge.

• I must notify ABBA Global Corp next business day of any license suspension/revocation.

• I consent to FMCSA Clearinghouse queries for drug/alcohol violations.

• I am responsible for all maintenance costs on my equipment.

• I will provide service records to ABBA Global Corp as required.

Full Name (Signature) *

Date *

Personal Information

Current Address

CDL License Information

Equipment Information

Tractor/Power Unit

Trailer (if owned)

DOT Preventive Maintenance Program

Employment History

Current Work Status

Clearinghouse Consent

Background Authorization

Owner Operator Certification