Drive Away Application

Independent Contractor Application

In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, religion, sex, national origin, age, marital status, or non-job related disability.

TO BE READ AND SIGNED BY APPLICANT

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e).

I also understand that I have the right to:

  • Review information provided by previous employers
  • Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective lessor, and
  • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information

By submitting this application you agree with the above terms and all other terms specified within this application.

Personal Information
Previous Addresses for the Past Three (3) Years

1st Address (leave blank if not applicable)