Dump Truck Owner-Operator Job Applcation

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 State ZIP Code
Email*
Driver License #*
FED ID or SS# (Optional)
Date of Birth or Date Started Business*
MM
DD
YYYY
US DOT #*
MN Tax ID #
Emergency Contact Infomation
Emergency Contact Person*
First Last
Phone

Contractor Information Request