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Rock On Repair
MN Tarp & Liner
Home
About Us
Equipment
News
Events
Gallery
Video
Owner Operators
Commonly Used Links
Job Openings
Contact
Rock On Repair
MN Tarp & Liner
Owner Operator Application
Please complete the below form and click submit when done. We will be in contact soon. Thank you!
Step
1
of
3
33%
Contractor Information Request
The following needs to be completed fully for us to enter into the new system. Some of the information is needed for prevailing wage jobs for the payroll reports.
Section 1
Swift Vendor #
*
Payment Payable To
*
Company Name
*
Contact Name
*
Home or Business Phone
*
Cell Phone
*
Fax Number
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Driver License #
*
FED ID or SS# (Optional)
Date of Birth or Date Started Business
*
Month
Day
Year
US DOT #
*
MN Tax ID #
Emergency Contact Infomation
Emergency Contact Person
*
First
Last
Phone
Section 2
Multi truck owners please fill out for each truck and/or trailer.
Are you an ITO or MTO?
*
ITO
MTO
Do you have a driver in the truck? 1
*
Yes
No
Is driver name different than in Section 1?
*
Yes
No
Driver Name
*
First
Last
Driver Phone Number
*
Driver's License #
*
Name on Door
*
Truck #
*
Truck Type 1
*
Semi
Quad
Tri
Quint
7 Axle
Year
*
Make
*
Color
*
Truck License Plate #
*
VIN #
*
Need to lease trailer?
*
Yes
No
Trailer #
*
Trailer License Plate #
*
Type of Trailer
*
End Dump
Side Dump
Belly Dump
Type
*
Fame
Frameless
Tarp or No Tarp?
*
Tarp
No Tarp
Add Additional Truck/Trailer? 2
*
Yes
No
Do you have a driver in the truck? 2
*
Yes
No
Is driver name different than in Section 1?
*
Yes
No
Driver Name
*
First
Last
Driver Phone Number
*
Driver's License #
*
Truck #
*
Truck Type 2
*
Semi
Quad
Tri
Quint
7 Axle
Year
*
Make
*
Color
*
Truck License Plate #
*
VIN #
*
Need to lease trailer? 2
*
Yes
No
Trailer #
*
Trailer License Plate #
*
Type of Trailer
*
End Dump
Side Dump
Belly Dump
Type
*
Fame
Frameless
Tarp or No Tarp?
*
Tarp
No Tarp
Add Additional Truck/Trailer? 3
*
Yes
No
Do you have a driver in the truck? 3
*
Yes
No
Is driver name different than in Section 1?
*
Yes
No
Driver Name
*
First
Last
Driver Phone Number
*
Driver's License #
*
Truck #
*
Truck Type 3
*
Semi
Quad
Tri
Quint 7 Axle
Year
*
Make
*
Color
*
Truck License Plate #
*
VIN #
*
Need to lease trailer?
*
Yes
No
Trailer #
*
Trailer License Plate #
*
Type of Trailer
*
End Dump
Side Dump
Belly Dump
Type
*
Fame
Frameless
Tarp or No Tarp?
*
Tarp
No Tarp
Voluntary Applicant Self-Identification Survey
As a government contractor, Rock On Enterprises, Inc. must comply with all applicable city, state and federal affirmative action laws. Because of these responsibilities, we are required to keep records and perform certain analyses on the race and gender status of our applicant pool. Since such analyses are only possible if we know the EEO profile of our applicants, we are using this means to ask you to complete this survey and return it to us promptly.
While your completing this survey is voluntary, for statistical analysis to be meaningful, we must have information on as many applicants as possible. The information which applicants provide does not affect their prospects for employment and is treated very confidentially.
We thank you in advance for your assistance in helping us perform the necessary analyses.
Name (Optional)
Position of Interest
Check One
Male
Female
Check Only One
White
Black or African American
Hispanic or Latino
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
How did you learn of this vacancy?
Employment Ad, Publication
Walk-In
Billboard
Current Employee/Owner/Operator
Website
Radio Advertisement
Other
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