Tradeconnect- Fleet Contractor Application Form
1. Personal Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Current Address
Full Address
Parish
Zip Code
Parish
Please Select
Clarendon
Manchester
Trelawny
St. Ann
St. Catherine
Kingston
St. Andrew
St. Mary
Portland
St. Thomas
Westmoreland
Hanover
St. James
St. Elizabeth
2. Vehicle Information
Type of Vehicle
Car
Van
Truck
License Plate Number
Insurance Provider & Policy Number
Upload Vehicle Registration & Insurance Certificate (File upload)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Supporting Documents
Upload Valid ID (Driver’s License, Passport, or National ID)
Drag and drop files here
Choose a file
Cancel
of
3. Work Eligibility & Requirements
Do you have a valid Driver’s License?
Yes
No
Do you have reliable transportation?
Yes
No
Do you own/lease the vehicle listed above?
Yes
No
Are you available to work on weekends & evenings?
Yes
No
4. Delivery & Work Experience
How many years of sales experience do you have?
Less than 1 year
1–3 years
3–5 years
5+ years
Industries you’ve delivered for: (Check all that apply)
Food & Beverage
Retail / Wholesale
Courier / Logistics
Describe your delivery experience
5. References
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
6. Compliance & Declaration
I understand that as a delivery contractor, I am responsible for maintaining my own/company vehicle in safe, roadworthy condition.
Yes
I certify that the information provided is true and accurate to the best of my knowledge.
Yes
Date
-
Month
-
Day
Year
Date
Submit
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