Owner Operator
  • Sign Form

  • Owner Operator Application

  • Format: (000) 000-0000.
  • Driver License Picture

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  • Truck/trailer front& back picture

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  • Registration (irp, cab card, apportion tags)(or copy of title, title receipt, prev. registration, purchase/lease agreement)

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  • 2290 Highway Tax (needed if registration help by EMBA ZHS Inc is needed)

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  • Insurance

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  • Inspection

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  • I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application. 

     

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company. 

     

    I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to: 

    Review information provided by current/previous employers; 

    Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and 

    Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information. 

     By signing below I have read and agree with the terms of the NCA/NDA agreement, the company policy and procedures, the lease agreement and any and all documents provided in my onboarding email.

    This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.

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