Foreman Contractor Application

Piece of Cake Moving & Storage LLC Independent Contractor Application

As part of Piece of Cake Moving and Storage’s procedure for processing your Independent Contractor Application, your personal documents and references may be checked.

Your signature below indicates you understand and agree to the information shown above.

Application form

Full Name: *

Independent Operator Business Name: *

Email: *

Phone number: *

Driver’s License Number: *

Driver’s License Class: *

Driver’s License State Registered: *

Business Street Address: *

City: *

State: *

Do you have Workers Compensation Insurance? *

Yes
No

If you have your own truck and equipment do you have Auto Insurance?

Yes
No

Do you have General Liability Insurance? *

Yes
No

How many years of truck driving experience do you have? *

Do you have a (CDL) Commercial Driver’s License A? *

How many years of experience do you have working in a moving company? *

What types of equipment have you transported before? *

Have you ever lost your license, had a court hearing, or have been fined for reckless driving? *

Yes
No

Have you ever worked as an independent contractor before? *

Yes
No

Do you currently possess a DOT Medical Card? *

Yes
No

Do you have (ELD) Electronic Logging Device experience? *

Yes
No

Have you operated with truck GPS in the past? *

Yes
No

Have you ever failed a medical or drug exam? *

Yes
No

Please list two personal references from your previous work experience:

Reference 1 name: *

License (ELD) years

Reference 1 contact information: *

Reference 2 name: *

Reference 2 contact information: *

Is there anything else you’d like to tell us about yourself?

Signature: *

Just enter your full name.