Independent Contractor Application
Failure to complete the application correctly will result in your application being IMMEDIATLEY REJECTED. Please upload clear and legible photos for the verification section.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What City and State do you live in?
*
City and State
What Vehicle/Equipment do you own/lease?(No rentals allowed)
*
Pickup Truck (must have 6ft truck bed or longer only)
Box Truck
SUV (must have a trailer)
Utility Trailer
Dump Trailer
Will you be able to pass a criminal background check?
*
Yes
No
Which services can you complete?
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Junk removal
Yard Waste Removal
Piano Removal
Hot Tub Removal
Demolition
Furniture Delivery
What days and time during the week are you available?
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Monday (8:00am-1:00pm)
Monday (1:00pm-6:00pm)
Tuesday (8:00am-1:00pm)
Tuesday (1:00pm-6:00pm)
Wednesday (8:00am-1:00pm)
Wednesday (1:00pm-6:00pm)
Thursday (8:00am-1:00pm)
Thursday (1:00pm-6:00pm)
Friday (8:00am-1:00pm)
Friday (1:00pm-6:00pm)
Saturday (8:00am-1:00pm)
Saturday (1:00pm-6:00pm)
Sunday (8:00am-1:00pm)
Sunday (1:00pm-6:00pm)
What areas do you service?
*
Greensboro, NC
Winston-Salem, NC
Kernersville, NC
High Point, NC
Burlington, NC
Thomasville, NC
Reidsville, NC
Summerfield, NC
Do you have access to a consistent helper?
*
Yes
No
Verification Form
Upload Photo of your Valid Drivers License
*
Browse Files
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of
Upload Certificate of Insurance (Debris Removal General Liability Insurance) **Please do not upload your medical or auto insurance policy.
Upload a File
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of
*IF YOU DON'T HAVE DEBRIS REMOVAL GENERAL LIABILITY INSURANCE YOU MUST GET A POLICY WITHIN 14 DAYS OF COMPLETING YOUR FIRST JOB OR YOUR PROVIDER ACCOUNT WILL BE DISABLED.
Recommended Insurance Provider - Next Insurance (Debris Removal General Liability)
Upload Photos of your Vehicle (front, both sides, back and cargo space )
*
Browse Files
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Choose a file
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of
Upload Photos Of your Trailer (front, both sides, and back)
*
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of
What are the dimensions of your cargo space Pickup Truck or Box Truck (length, width, and height of sides) ?
*
please give exact measurements!
What are the dimensions of your Trailer space (length, width, and height of sides) ?
*
please give exact measurements!
Upload Photos of your Equipment (Dolly, Ratchet Straps, etc.)
*
Browse Files
Drag and drop files here
Choose a file
Required: dolly & ratchet straps
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of
Comments
How did you hear about us?
*
Craigslist
Our website
Youtube
Referral
Indeed
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