Velour Coast Logistics – Peak Season Driver Intake Form
Complete this form to be considered for peak season delivery routes with Velour Coast Logistics, LLC; all required fields must be filled out unless marked optional.
Contact Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Availability & Location
Preferred Store or Delivery Location
*
Available to Work 7 Days per Week During Peak Season?
*
Yes
No
Are you available to start on October 12, 2026?
*
Yes
No
Do you have a backup driver?
*
Yes
No
Route hours can vary based on package volume that day. A full route is up to 10 hours, but on lower-volume days you may instead be assigned an 8-hour, 6-hour, 4-hour, or 2-hour route. Are you okay with being assigned a shorter route on lower-volume days?
*
Yes
No
Driver's License
Driver's License Number
*
Driver's License State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Driver's License Expiration Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Driver's License Photo (Front and Back)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Vehicle Information
Vehicle Ownership
*
Please Select
Owned
Leased
Rented
Personal Vehicle (POV)
Vehicle Year, Make, and Model
*
VIN Number
*
License Plate Number
*
Is this a high-capacity vehicle?
*
Yes
No
Current Vehicle Photo
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Proof of Vehicle Insurance
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Acknowledgment
Acknowledgments
*
I understand and agree that a background check is required before I can be assigned any routes.
I understand I am being engaged as an independent contractor, not an employee — I am responsible for my own vehicle, fuel, and taxes, and can accept or decline specific routes.
E-signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Confirmation
Submit
Submit
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