AUTO DRIVEAWAY PITTSBURGH DRIVER FORMS

Auto Driveaway
Pittsburgh

1-412-276-6922
FAX 412-276-8650

If you are planning to be in the Pittsburgh area and would like to know the availability of a vehicle please fill out this form. All we need is two weeks notice of your travel plans.

	I am at least 25 years old and have a valid driver's license. I am interested in driving a car in the United States or Canada.
From:
To:
I would like to leave on: Month/Day/Year
Please send a Driver's Application form to:
Name:
Company:
Street:
City:
State:
Zip:
Phone:
Country:
e-mail:

Sign up if you'd like an
 employment 
opportunity as an ADC Driver.

I am at least 21 years old and have a valid Commercial Class Driver's License	Yes No
Name:
Street:
City:
State:
Zip:
Phone:
e-mail:
Last DOT Physical: Month/Day/Year
Last Drug Test: Month/Day/Year
Drug Test Verification Available:	Yes No
Last Alcohol Test: Month/Day/Year
Alcohol Test Verification Available:	Yes No
Recent Related Work Experience: