Independent Contractor New Hire Application

Independent Contractor New Hire Application

Tell us about your business and operating details, then upload the required documents to complete onboarding.
General & Contact Information
Legal Business Name
DBA (Doing Business As)
Primary Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Physical Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Operating Authority & Tax Details
Federal Tax ID / EIN
USDOT Number
MC / FF Number
Years in Business
Equipment & Capacity
Equipment Type(s) Operated

Other
Total Power Units Available
Total Trailers Available
Driver Qualifications
Driver’s Full Legal Name

First NameLast Name
Driver’s License Number & State of Issue
CDL Class
Years of Commercial Driving Experience
Moving Violations / Accidents in Last 3 Years?
If yes, please explain
Document Uploads
W-9 Form

Cancelof
Certificate of Insurance (COI)

Cancelof
FMCSA Operating Authority / MC Certificate

Cancelof
CDL Copy (Front and Back)

Cancelof
Notice of Assignment (NOA) / Voided Check

Cancelof
Agreement & E-Signature
Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: