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Home About Services Driver Onboarding Drive-For-Hire Application Contact

504-666-4290 Get a Quote

Home About Us Services Driver Onboarding Drive-For-Hire Application Contact

504-666-4290

Get a Free Quote →

Driver Form

HTML

Driver Information & Onboarding

Name

Phone

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Country

Driver License Number

Select

License Expiration Date

Emergency Contact Name

Date of Birth

Emergency Contact Phone

Relationship

Driver License Upload

No file chosen

Insurance Document Upload

No file chosen

Other Required Document

No file chosen

Independent Contractor Agreement

Display the full agreement text on the page

Contractor Name

I Agree (acknowledgment checkbox)YesNo

Signature

Start signing your signature here

Date

Safety & DOT/FMCSA Compliance

I Agree — safety acknowledgmentYesNo

Signature

Start signing your signature here

Date

Company Policies

I Agree — Dispatch & Load AcceptanceYes

I Agree — Customer ServiceYes

I Agree — Cell Phone PolicyYes

I Agree — ConfidentialityYes

Date

Vehicle & Equipment

Vehicle Type

Make

Year

Model

VIN

License Plate

State

Insurance Company

Policy Number

Insurance Expiration Date/Time

Equipment IssuedPhoneScannerKeysSafety EquipOthers

Equipment ConditionNewGoodFairDamaged

Notes

Date

Signature

Start signing your signature here

Final Contractor Acknowledgment

Acknowledgment CheckboxesI 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

Signature

Start signing your signature here

Gusto & W-9 Handling

Gusto Onboarding CompletedYesNo

W-9 CompletedYesNo

Gusto Onboarding CompletedRequired Documents SubmittedYesNo