6ix Figures Express LLC - Driver Application Form

6ix Figures Express LLC - Driver Application Form

Please fill out the application below. All fields are required.
Personal Information:

Please fill out the following information below.
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Ethnicity *
Gender*
Requirements Checklist

Please confirm you meet the following requirements by checking each box.
Check off the following that apply to you below:*

Own Transportation? (Car, Pickup Truck, or Van)Valid Driver’s License?U.S. Residency?Valid Auto Insurance?Clean Driving Record?Flexible Schedule?
Vehicle Make and Model *
example; 2008 Honda Civic
Flexible Schedule? Please add your availability.
Additional Certifications (Required): To begin working with 6ix Figures Express, the following certifications are required. Once your application is approved, we’ll provide direct links and instructions to obtain these certifications through our trusted partners. Please check only the certifications that you have*

Blood Pathogen Card (Free )HIPPA Card ($9.95 )TWIC Card ($120.00 ) extra payWill Obtain
Driver’s Information:

Please continue and fill out the following information below
Driver’s License Number:*
Insurance Company & Policy # with expiration date*
exp: Allstate Ins #12345678 exp: 10/23/26
Zelle*
email or phone number
Cash App*
Phone number
Should be Empty: