Tennessee State Government
TENNESSEE DEPARTMENT OF SAFETY
AND HOMELAND SECURITY
Driver Qualification
| |
Towing service do hereby submit this listing of all personnel who are employed by this company and will at any time be required to drive a tow truck or perform emergency roadside assistance as directed by Members of the Tennessee Department of Safety and Homeland Security. I further authorize the Tennessee Department of Safety and Homeland Security to conduct a driver license and criminal history check on the personnel as authorized and in compliance with regulations established by the Towing Service Standards Manual.
|PERSONNEL EMPLOYED BY COMPANY TO DRIVE TOW TRUCKS (Including Owners) |
|NAME |D.O|DRIVER |
| |.B.|LICENSE |
| | |NUMBER |
|Signature of Owner | |Date |
| | | |
| |
*Use additional sheets if necessary
Original - District File Copy - Towing Firm
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I, being owner or proprietor of
SF-1117 (Rev. 5/16)
RDA 291
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