Driver Application | IBC Carriers

0

Position Details

Application Date

Position Applied For

Driver Type

Company DriverIndependent Contractor (1099)Owner Operator

1

Personal Information

Applicant Full Legal Name

Gender

Date of Birth

Nationality

SSN (Last 4 Digits)

Phone Number

Email Address

Driver License Number

State of Issue

License Expiry Date

CDL Class

DOT Medical Certificate Expiry

Street Address

City

State

Zip Code

Country

2

Employment Eligibility

3

CDL & Driving History

4

Banking Details (ACH Payroll)

Bank Name

Account Holder Name

Routing Number

Account Number

Account Type

CheckingSavings

Preferred payment method: ACH Transfer. Banking details are encrypted in transit.

5

Emergency Contact

Contact Name

Relationship

Phone Number

Alternative Phone (optional)

Email (optional)

Address

6

Required Documents

Upload clear scans or photos of each document. Accepted formats: PDF, JPG, PNG, WEBP. Max 10 MB per file.

CDL LicenseRequired

Front and back of your Commercial Driver License.

DOT Medical CardRequired

Valid DOT medical examiner's certificate.

Social Security CardRequired

Clear photo or scan of your SSN card.

Passport / Government IDRequired

Passport, state ID, or permanent resident card.

Proof of AddressRequired

Utility bill or lease showing current address (last 60 days).

Voided Check / Bank ConfirmationRequired

Used to verify ACH payroll routing & account.

Previous Employment VerificationOptional

Last employer letter, W-2, or pay stub (optional).

Driving Record (MVR)Optional

Recent MVR printout if available (optional).

7

Consents & Authorizations

MVR Check

I authorize IB Carriers LLC and its authorized agents to obtain and review my Motor Vehicle Record (MVR) from any applicable state licensing authority.

I Agree

Background & Security Check

I authorize IB Carriers LLC and its designated screening providers to conduct background investigations, employment verification, reference checks, identity verification, and other lawful screening activities related to my application or engagement.

I Agree

Drug & Alcohol Testing

I consent to pre-employment, random, post-accident, reasonable suspicion, return-to-duty, and follow-up drug and alcohol testing as required by FMCSA regulations and Company policies. I understand that refusal to participate may result in withdrawal of an offer or termination of engagement.

I Agree

8

Driver Declaration

I certify that all information provided in this form is true, complete, and accurate. I understand that false statements, omissions, or misrepresentations may result in denial of engagement or immediate termination.

Type Full Name as Signature

Date

Draw Your Signature

Sign above

Use your mouse or finger to sign inside the box. Click Clear to redraw.

I certify the above declaration and agree that my electronic signature is the legal equivalent of a handwritten signature.

I have read, understood, and agree to the terms, conditions, and authorizations of this driver application, including the MVR, background, and drug & alcohol testing consents above. I acknowledge that submitting this form with my electronic signature constitutes a legally binding agreement under the U.S. E-SIGN Act and applicable state laws.