IDLOGISTICS, LLC.
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Contractor/Employee Form (Please Complete)
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Indicates required field
Contact Person
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First
Last
Phone Number
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Email
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Opportunity you are looking for:
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Contractor
Employee
If Contractor, please provide DOT and MC numbers.
DOT #
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MC #
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Do you have insurance coverage?
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Yes
No
If yes, please complete coverage limit fields. If no, move on to "Past Experience".
WHAT ARE YOUR COVERAGE LIMITS?
GENERAL LIABILTY
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Auto
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Umbrella
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Workers Comp
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Cargo
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Past Experience
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Furniture
Appliance
Both Furniture & Appliance
Other
Reference Person Name
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First
Last
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Phone Number
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Additional Comments
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