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504-666-4290 Get a Quote

Home About Us Services Driver Onboarding Contact

504-666-4290

Get a Free Quote →

Driver Form

Driver Information & Onboarding — Kountry Living Enterprises LLC

Driver Information & Onboarding

First Name

Last Name

Phone/Mobile

Email

AddressDriver Information & Onboarding — Kountry Living Enterprises LLC

Address Line 1

Address Line 2

City

State

Zip Code

Country

Driver License Number

License State

License Expiration Date

Date of Birth

Emergency Contact Name

Relationship

Emergency Contact Phone

Driver License Upload

Choose File

Insurance Document Upload

Choose File

Independent Contractor Agreement

Display the full agreement text on the page

Contractor Name

I Agree (acknowledgment checkbox)

Yes

No

Some description about this section

Date

Safety & DOT/FMCSA Compliance

I Agree — safety acknowledgment

Yes

No

Date

Company Policies

I Agree — Dispatch & Load Acceptance

Yes

I Agree — Customer Service

Yes

I Agree — Cell Phone Policy

Yes

I Agree — Confidentiality

Yes

Date

Vehicle & Equipment

Vehicle Type

Year

Make

Model

VIN

License Plate

Dropdown

Insurance Company

Policy Number

Insurance Expiration Date/Time

Equipment Issued

Phone

Scanner

Keys

Safety Equip

Other

Equipment Condition

New

Good

Fair

Damaged

Notes

Date

Final Contractor Acknowledgment

Acknowledgment Checkboxes

I understand that I am an independent contractor.

I understand that I am responsible for my own applicable taxes.

I agree to follow Kountry Living Enterprises LLC safety policies.

I agree to represent the company professionally.

I understand the company's dispatch and load acceptance requirements.

I acknowledge that I have completed the required onboarding documents.

Contractor Name

Date

Gusto & W-9 Handling

Gusto Onboarding Completed

Yes

No

W-9 Completed

Yes

No

Required Documents Submitted

Yes

No