Box Truck Owner/Operator Application Name * First Name Last Name Phone * (###) ### #### Email * Company Name * Company Address * City * State * Zip Code * DOT # * MC # * Do you currently own or lease a 24 or 26 foot box truck? I currently own a box truck. I currently lease a box truck. I plan to purchase a box truck. I plan to lease a box truck. I DO NOT plan to purchase or lease a box truck. Do you have experience completing Amazon Routes? Yes No Do you currently have commercial auto insurance coverage of $1,000,000 in auto liability and $100,000 in cargo coverage? * I currently have AT LEAST $1M in auto liability and $100K in cargo insurance coverage. I currently have LESS THAN $1M in auto liability and $100K in cargo insurance coverage. I DO NOT currently have commercial auto insurance. What times of day are you available to pickup your loads? * 11pm to 4:30am 5am to 8am 8:30am to 12:30pm What days of the week are you available to work? * Monday Tuesday Wednesday Thursday Friday Saturday Sunday What date you are available to start? * MM DD YYYY Do you have any questions or comments regarding your interest in working with us? Thank you for your application.
