Form 5a Form 5a Monthly Data Submission Revised

Safe Driver Apprenticeship Pilot Program

IC-5a Revision for Emergency Review Request

IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.

OMB: 2126-0075

Document [pdf]
Download: pdf | pdf
IC-5a: Monthly Safety Data
Screen shots taken before full OMB approval received.
Current forms accurately reflect 10/31/2025 expiration date, as displayed on all
revised screens.

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File Typeapplication/pdf
File TitleApprentice Driver Application
AuthorMichel, Nicole (FMCSA)
File Modified2024-03-29
File Created2024-03-21

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