Test by Mirsad

 


You have until Tuesday, November 18, 2025 at 11:54 AM EST before you can no longer complete this online.

Employment Verification

In reference to the Employment Verification request being performed on behalf of SOKOL KAJOLLI, we need additional information from you to complete this order. <br>

Consent form is on file (enter CID# when prompted):  

Consent Form

 

FMCSA Verification Signed Release is on file (enter CID# when prompted):  

FMCSA Verification Signed Release

 


Please verify the following information:

* is a Required Field

Verification Information
Info Correct? Corrected Information
First Name:
SOKOL











Last Name:
KAJOLLI











Other Name:
None
Social Security Number:
XXX-XX-3772











Date of Birth:
01/12/XXXX











Employer Name:
GM EXPEDITE LLC











Line of Business:

Dates of Employment:
9/2/2025











Position/Title:
OVER THE ROAD DRIVER











Position Type <br>Please indicate F(Full-Time) or P(Part-Time):

Salary:<br> Please indicate per Hour, Week, Month, Year, etc.:

Duties:

200 characters available

Reason For Leaving:

50 characters available

Eligible For Rehire <br>Please indicate Y(Yes) or N(No).<br> If No, indicate if due to cause or due to company policy.:

Additional Comments:

1000 characters available

Was the individual in any type of DOT regulated position with your company? For example, the individual drove a commercial motor vehicle or was in a safety sensitive position. Yes or no

300 characters available
*

If replied yes in 1, under what agency? FMCSA, FAA, FTA, PHMSA, FRA or Coast Guard?

300 characters available
*

If FMCSA, was this individual a CDL driver for your company? If Yes, continue to question 4 & skip questions 5-11. If No, continue to questions 4-21.

300 characters available
*

What type of commercial motor vehicle did the individual drive?

300 characters available
*

If FAA, FTA, PHMSA, Coast Guard or non-CDL, did the individual have alcohol tests with a result of 0.04 or higher? Yes or no

300 characters available
*

If FAA, FTA, PHMSA, Coast Guard or non-CDL, did the individual have any verified positive drug tests? Yes or no

300 characters available
*

If FAA, FTA, PHMSA, Coast Guard or non-CDL, did the individual refuse to be tested for drugs or alcohol? Yes or no

300 characters available
*

If FAA, FTA, PHMSA, Coast Guard or non-CDL, did the individual have other violations of DOT agency drug and alcohol testing regulations? Yes or no

300 characters available
*

If replied yes in 5, 6, 7, or 8 did the individual complete the return to duty process (Part 40 SAP includes a rehabilitation or education program, return to duty test, & follow up testing)? Yes or no

300 characters available
*

If yes to 9, has the individual then had any alcohol tests 0.04 or higher, tested verified positive for drugs, or had any other violations of DOT agency drug and alcohol testing regulations? Yes or no

300 characters available
*

If FAA, FTA, PHMSA, Coast Guard or non-CDL, did a previous employer report a drug and alcohol rule violation to you? Yes or no

300 characters available
*

Did the operator have any reportable or non-reportable accident(s) as defined by the FMCSA Safety Regulations? Yes or no

300 characters available
*

If yes, were the accident(s) Preventable or Not Preventable

300 characters available
*

If yes, what was/were the date(s) of the accident(s)?

300 characters available
*

What is the city/town and state in which each accident occurred, or the place the accident was most near?

300 characters available
*

Please provide a description of each accident.

300 characters available
*

How many people, if any, were injured in each accident?

300 characters available
*

For each reported accident, were there any fatalities? If so, how many per accident?

300 characters available
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Was there any accident where one or more vehicles incurred disabling damage and had to be removed from the scene by tow truck or other motor vehicle? Yes or no

300 characters available
*

Were any hazardous materials spilled in the accident(s) other than fuel from the truck’s tank?

300 characters available
*

What is your name?

300 characters available
*

What is your telephone number?

300 characters available
*

Information Furnished By
Full Name:

*

Title:

*

Email Address:

*

Phone Number:

*

This inquiry is in regards to the credentialing process for the above named candidate. A full and prompt reply will be appreciated.
Thank you for your cooperation.