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Independent Contractor Information Sheet Application

Elite Transportation Systems, Inc., 9113 Davenport St NE, Blaine, MN 55449

This email address is being protected from spambots. You need JavaScript enabled to view it.  Fax 763-785-0133

Please fill in all blanks or write “N/A”

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Select "Add More Addresses" to continue listing addresses covering the last 3 years.


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Required by Department of Transportation

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Driver’s license information: All licenses held, last 3 years :

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History of Work (most recent job listed first)

Drivers of vehicles rated over 26,000 GVW must list at least the last 10 years' work history per FMCSR §383.35(c).

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For driver applicants of commercial motor vehicles that require a Commercial Driver License (CDL) the applicant must disclose their controlled substance and alcohol status per the requirements of 49 CFR part 40.25(j).


Certification: “I certify that this information sheet was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. Willfully providing false information may result in termination of my contract(s).”

 

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