Best time to contact? Anytime Morning Afternoon Evening
Preferred Method of Contact Phone Email
Are you legally eligible for employment in the United States? Yes No
Are you currently employed? Yes No
Permanent Resident Card Yes No N/A
Do you read, write, and speak English? Yes No
Equipment Experience
Driving History
Has your license been suspended/revoked? Yes No
Have you ever received a DUI/DWI? Yes No
Have you ever been convicted of a felony? Yes No
Do you have an active Authority? Yes No
Have you ever worked for this company before? Yes No
What position are you applying for? Cargo Van O/O Sprinter Van O/O Straight Truck O/O Straight Truck Fleet Owner Tractor Tractor Fleet Owner Company Driver
W9 Information
Address
Requester's Name (optional)
Requester's Address (optional)
Part I - Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.
Part II - Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
