Previous Seven Days HOS Request Previous Seven Days Hours of Service This form shall not be filled out until the date of hire, once this form has been completed, the Driver is REQUIRED to provide logs for every day of employment thereafter. THIS SHALL NOT BE COMPLETED PRIOR TO THE FIRST DATE OF EMPLOYMENT!!!!!!!!!!!! Enter new Driver Name Here* First Middle Last Number of hours worked One day ago (yesterday)?*Date* Date Format: MM slash DD slash YYYY Number of hours worked Two days ago (day before yesterday)?*Date* Date Format: MM slash DD slash YYYY Number of hours worked Three days ago?*Date* Date Format: MM slash DD slash YYYY Number of hours worked Four days ago?*Date* Date Format: MM slash DD slash YYYY Number of hours worked Five days ago?*Date* Date Format: MM slash DD slash YYYY Number of hours worked Six days ago?*Date* Date Format: MM slash DD slash YYYY Number of hours worked Seven days ago?*Date* Date Format: MM slash DD slash YYYY Total Number of hours worked in the last seven days?*Please upload the FRONT of your CDL here.Please upload the REAR of your CDL here.I was last relieved of duty at:* : HH MM On this date:* Date Format: MM slash DD slash YYYY By placing my electronic signature here I hereby certify that the information given is correct to the best of my knowledge and belief, and that I was last relieved from work on the date and time Provided above.*
