Driver Qualification Form

New & Existing Driver

"*" indicates required fields

Step 1 of 4

Pre-Qualifying Questions*

1. Does the Driver have a valid Driver’s License?

2. Does the Driver have a valid TDG Certificate?

3. Does the Driver have a valid WHMIS Certificate?

4. Has the Driver reviewed ERP?

Driver Information

Driver's Full Name*

First Last

Driver’s License No.*

Driver’s License Issued by*

Canada

United States

Province*

State*

TDG Certification – Date of issue:*

WHMIS Certification – Date of issue:*

Emergency Response Plan – Date of review:*

Previous Canadian Fuels Card # (If Applicable)

10 Supervised Loads – Date of completion or expected completion:*

10 Supervised loads are to be completed by a new Driver while assisting another Certified Driver

Optional

Years of experience

Email address for activation key

If you would prefer the activation key to be sent to the driver directly, please input their email below

Enter Email Confirm Email

Representative Info

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Carrier name

Carrier Name*

If you do not see your organization's name, please choose 'New Carrier'.

New Carrier Registration*

Representative (Employer) Name*

First Last

Representative email address*

Enter Email Confirm Email

Terminals

(Terminal Name, Location Of Terminal) To expedite the approval process, please consider selecting multiple terminals, if possible.

Terminal 1*

To expedite the approval process, please consider selecting multiple terminals, if possible.

Terminal 2

(Optional) To expedite the approval process, please consider selecting multiple terminals, if possible.

Terminal 3

(Optional) To expedite the approval process, please consider selecting multiple terminals, if possible.

Terminal 4

(Optional) To expedite the approval process, please consider selecting multiple terminals, if possible.

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Terminal 1

To expedite the approval process, please consider selecting multiple terminals, if possible.

This field is hidden when viewing the form

Terminal 2

(Optional) To expedite the approval process, please consider selecting multiple terminals, if possible.

This field is hidden when viewing the form

Terminal 3

(Optional) To expedite the approval process, please consider selecting multiple terminals, if possible.

This field is hidden when viewing the form

Terminal 4

(Optional)

View/Download Appendix 1 View/Download Appendix 2

Assign The Following Tests

(Please Mark What Is Needed)

Section 3-8 & 12 General Test - Mandatory

Section 8 Light Products (Gas/Diesel)

Section 8 Heating Oil/Meter Delivery

Section 10 Heavy Fuel Oil (Bunker)

Section 10 Asphalt

Section 9 Aviation

Sections 11 Marine

Checkout

CFA DRIVER CERTIFICATION*

Canadian Fuels Association Driver Registration

Price:

Billing Country*

Canada

United States

Billing Address - Canada*

Street Address Address Line 2 City Province Postal Code

Billing Address - United States*

Street Address Address Line 2 City State ZIP Code

Taxes (GST)*

Price: $ 0.00 CAD

GST

Price: $ 0.00 CAD

GST/HST

Price: $ 0.00 CAD

GST

Price: $ 0.00 CAD

GST

Price: $ 0.00 CAD

GST/HST

Price: $ 0.00 CAD

Total

Credit Card*

Card Details

Cardholder Name

By pressing submit, your credit card will be charged and your Q Form will be submitted for processing.

Carrier/Company Legal Name*

Employer Representative’s Name

First Last

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