Congratulations on your decision to lease on with Mikey & MJ's Trucking LLC! You are literally just moments from becoming a part of our team! We take great pride in making sure we provide the best working environment possible. HAVE THE FOLLOWING DOCUMENTS ON HAND TO SPEED UP THE APPLICATION PROCESS YOUR CDL, PHYSICAL DAMAGE INSURANCE, BOBTAIL INSURANCE, MVR, AND CAB CARD. THANK YOU.
Name
*
First Name
Last Name
Date Of Birth
*
Phone Number
*
License number
*
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License State
*
Social security number
*
Email
*
Company Name
*
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Do you need help looking for a driver?
Yes
No
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you lived here for less than 3 years?
*
Yes
No
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If you answered YES, please provide your previous address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have a CDL?
*
Yes
No
How long have you held a CDL?
*
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Do you have your own authority?
*
Yes
No
What type of equipment do you have?
*
Tractor
Reefer
Dryvan
Flatbed
Value of each piece of equipment
*
Location - City, State - Region
*
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Any Service Restrictions location wise?
*
Yes
No
If you selected YES, please describe restrictions in the box below if NO type "N/A".
*
Have you had any moving violations in the past 3 years?
*
Yes
No
Preferred Lanes
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What states are you willing to run?
*
How many days are you willing to be on the road?
*
Do you have a clearing house?
*
Yes
No
If you answered "YES", what company do you use?
Do you have an ELD?
*
Yes
No
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Is the previously mentioned ELD issued by Motive? If not, what type of ELD do you have?
*
Are you the driver?
Yes
No
Do you have tags?
*
Yes
No
In progress of obtaining
Year, Make, Model & Vin# of Tractor.
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MVR
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CDL
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Vehicle Inspection
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Bobtail Insurance/ Physical Damage Insurance
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Cab Card
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Bank Account Number
*
Bank Routing Number
*
Bank Name and Address
Client agrees to indemnify, defend and hold harmless Mikey & MJ's Trucking LLC and it's officers, employees, affiliates and agents from and against any and all losses, liabilities, claims or damages asserted by third parties arising out of or in connection with Mikey & MJ's Trucking LLC performance of its obligations under the Agreement, except to the the extent that such losses, liabilities, claims or damages are judicially determined to have resulted directly and primarily from the willful misconduct or gross negligence of Mikey & MJ's Trucking LLC.
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