JDL EXPRESS COURIERS LLC Independent Contractor Driver Application Form

JDL EXPRESS COURIERS LLC Independent Contractor Driver Application Form

Please complete this form to be considered as an independent contractor driver with JDL Express Couriers LLC. Provide accurate and complete information.
Full Name*

First NameMiddle InitialLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Please upload a photo of your auto insurance card.*

Cancelof
Please upload a photo of your Driver's License. *

Cancelof
Please upload a photo of your vehicle registration.*

Cancelof
Work Availability

Flexible Availability (On-Call)Part Time (Weekdays)Part Time (Weekends)Full Time
Previous Delivery Experience*

YesNo
If yes, please describe your previous delivery history
Current Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Please upload a recent headshot. This is required for internal security records, since our drivers deliver sensitive medical items*

Cancelof
Briefly explain how you would be an asset to the JDL Express Couriers LLC organization.
Please include your work ethic, reliability, professionalism, and any experience that makes you a strong fit for medical courier services.
If selected are you willing to complete all required training including HIPAA compliance and any additional certifications necessary to serve as a medical courier?

YesNo
I agree to the terms and conditions of the application process.*
📧 HR@JDLEXPRESSCOURIERS.COM

📞 954-932-7531
Should be Empty: