Driver/Employee List Company Name Please choose an option(Required) DOT Regulated NON-DOT Testing Please select your regulating agency(Required) FMCSA PHMSA FTA NONE PhoneFaxDate Month Day Year Email to receive copy of your deletions and additions for your DOT or company records Company representative completing form Delete these Drivers/EmployeesPlease list employees to be deleted alphabeticallyName (Last, First)Date of BirthCDL StateCDL Number Add RemoveAdd these Drivers/EmployeesPlease list employees to be added alphabeticallyName (Last, First)Date of BirthCDL StateCDL Number Add RemoveEmailThis field is for validation purposes and should be left unchanged. Δ