Employee Information | FORM Employee Information HiddenWho is this from? Adventure Tours Safety Username* Password* Enter Password Confirm Password Name* First Middle Last Email* Enter Email Confirm Email Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cellular Phone*Home PhoneDate of Birth* MM slash DD slash YYYY Gender* Female Male Emergency ContactEmergency Contact Name* First Last Emergency Contact Phone Number*Relationship* Spouse or Significant Other Parent/Sibling/Relative Friend Driver License Information (CDL or DL)CDL (Commercial Driver License) Expiration Date MM slash DD slash YYYY Please enter the date on the MOST CURRENT DOCUMENT. This can be either a CDL or regular DL.CDL Number State of Issue State of Issue License Type A- Commercial Truck and combination vehicles B- Bus and Straight Truck C-Mini bus with restrictions C-Civillian vehilces Medical Examiners Certificate (MEC)Certification Type INTRA-STATE can only operate non-interstate commerce INTER-STATE can operate in interstate commerce An inter-state operator can pick people up from an airport and move them to a hotel, HOWEVER an Intra-state operator cannot, as this type of move is "in the continuance of inter-state commerce" if the plane has any passengers on it that came from outside of the state. MEC (Medical Examiner Card) ISSUE Date MM slash DD slash YYYY When updating this field, a warning notification will be sent to the system admin 12 days AFTER the issue date of the MEC card to remind you to check the status of the card reporting to the MVR. Your state may have a free online tool, you should research that option prior to buying a new MVR. Otherwise, you need to verify the MEC is reporting on the MVR within 15 days of issuance. Attach this to your MEC card in the file or print and store as desired. T.MEC (Medical Examiner Card) EXPIRATION Date MM slash DD slash YYYY When Updating this field, make sure that you have gone to the link below and verified the Medical Examiner is valid. You are required to document this, so either print out the information or print to PDF and attach to the new MEC card in the File. Here is the link: https://nationalregistry.fmcsa.dot.gov/NRPublicUI/home.seamMotor Vehicle Record (MVR)MVR (Motor Vehicle Record) Expiration Date MM slash DD slash YYYY Enter the date on the MVR plus twelve months. Annual MVR Review requirements mandate annual review of this document. Please enter the date on the MOST CURRENT DOCUMENT.
