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.Format: (000) 000-0000.
Email Address
example@example.com
Please upload a photo of your auto insurance card.

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Please upload a photo of your Driver's License.

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Please upload a photo of your vehicle registration.

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Work Availability
What type of vehicle will you be using for deliveries?
Previous Delivery Experience
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

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Do you currently hold any professional certifications relevant to medical or legal courier work? (Certifications are not required at the time of application. Selected candidates will receive training and support to obtain necessary certifications in compliance with company standards)

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

📞 954-932-7531
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