763 785-0124

Contractor Application

Page 1 of 2

Independent Contractor Information Sheet Application

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

Fleetservices@elitetransportationsys.com  Fax 763-785-0133

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

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

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


Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Invalid Input
Invalid Input
Invalid Input


Required by Department of Transportation

Invalid Input
Invalid Input

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

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

History of Work (most recent job listed first)

DOT requires 3 years of driving history and 10 years history for larger vehicles.  Drivers of vehicles rated over 26,000 GVW must list at least the last 10 years' per FMCSR §383.35(c).

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input


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).”

 

Invalid Input
Invalid Input
Please include your signature

Company Information

Elite Transportation Systems Inc.
9113 Davenport Street NE
Blaine MN  55449

Office Hours
Monday - Friday, 6 am to 6 pm

Phone Number
Main Line (763) 785-0124
Fax (763) 785-0133

___________________

Fleet Services
9113 Davenport Street NE
Blaine MN  55449

Office Hours
Monday - Friday, 7 am to 4 pm

Phone Number
Recruiting (763) 785-4004

___________________