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DRIVER REQUEST FORM
How did you hear about us?
TRUCKING/DELIVERY COMPANY INFORMATION
When was your company started?
What is the DOT number that your company will operate under?
Select the appropriate classification for your company.
Please select
Individual/Sole Proprietor
Single Member Limited Liability Company
LLC (S-Corp, C-Corp, P-Partnership)
Insert your company's application link. *
What is the average turnover at your company? How long does a driver usually work for your company?
Explain the challenges that you are experiencing with hiring truck drivers.
Company Name
Company Address
City
State / Province
Postal / Zip Code
Hiring Manager Name
Middle Name
Last Name
Email Address
Phone Number
Is this position W2 or 1099?
Please select
W2
1099
What payroll system do you use?
Describe your company's payroll process. Provide information about the day of the week that you pay your drivers and the method of payment used. Do you provide payroll check stubs or weekly settlements
Describe your payroll week. Example: Driver is paid on Friday for loads ran from Monday to Monday
Does the driver have to put a week in the hole?
Yes
No
I am not sure
Provide the name of your company's Designated Employer Representative.
Does your company have a Drug and Alcohol Policy in place
Yes
No
I am not sure
Does your company have a T/CPA (Drug and Alcohol Consortium) already in place?
Yes
No
I am not sure
If you answered Yes; provide the name and number of the consortium.
Have your Supervisors received Reasonable Suspicion training and/or documentation?
Yes
No
I am not sure
DRIVER NEEDS
How many trucks do you need filled at this time?
What is the hiring area that we should source your driver(s) from?
What date do you need your driver request(s) filled? NOTE: We DO NOT guarantee a specific date that your driver(s) will be hired, but will place all efforts in securing a driver in a timely manner
Do you need our company to run reports and prepare the DOT mandated Driver Qualification File? (Not requiring the FULL DQ file will decrease your driver sourcing rate)
Yes
No
I am not sure
Describe the amount of experience that the driver must have for your position. Provide insight as to how old the experience may be. (ie. driver must have 3 years experience in the last 10 yrs)
Please describe your company's hiring guidelines or insurance requirements. (ie. ticket/accident requirements - ex. -- no tickets in the last 3 yrs), criminal background, (ie. no felonies in the last 5 yrs) (no speeding tickets over 10 mph) -- TO PREVENT DELAYS IN SCREENING DRIVERS -- IT IS IMPORTANT THAT WE HAVE THIS INFORMATION IN FULL. If you have this information listed out on a separate document, please email it to recruiters@lotrrecruiting.com
Describe the pay in detail. 1)CPM, Percent per Load, Flat Rate, Minimum Pay or Pay Guarantee. You will be asked to provide examples of averages and current driver pay. If you do not have them, we will need additional information regarding your dispatching process.
Are there any Endorsements needed? If so, list all required.
EQUIPMENT & RUN DETAILS
Year / Make / Model of the Tractor
Are the tractor(s) Manual or Automatic?
Does the driver need to pick up the truck after hired? If so, where is it located
Describe where the truck should be parked during the driver's home time. If it is acceptable for the driver to keep the truck during their home-time, please advise.
What does Home-time look like on this position? (ie. out 2 weeks - home 2 days)
Select the type of run that will be filled.
Please Select
Local
Regional
OTR
Other
If you selected Other, please explain
Select the type of freight that will be hauled.
Please Select
Dry van
Reefer
Flatbed
Oversized/RGN Loads
Hotshot
Class B
Passenger
Intermodal
Tanker/Hazmat
Government
Yard Jockey
Other
If you selected Other, please explain
ORIENTATION & ONBOARDING PROCESS
Describe your company's onboarding or orientation process. What steps are taken? If you do not have one please advise and our company will include driver orientation services in your consultation.
Please provide the following: 1) Orientation location 2) How long will orientation last 3) Will the driver have to take a new DOT physical? If not, how much time should be left on their current DOT card. 4)Share any other pertinent documents or information that need to be collected prior to attending orientation. (ie. driver's license, ss card, med card).
If travel to orientation is necessary, will your company cover travel expenses?
Select the type of Drug Test that will be administered at orientation.
Please Select
Urine Drug Screen
Hair Drug Screen
Both
ADDITIONAL INFORMATION
Is there any additional information that you would like to share to help us fill your open position(s).
List any incentives that are being offered. (ie. sign-on bonus, holiday bonus, benefits, per diem for food etc.)
Tell us more about your company and its culture. History, Why it was started, Future goals and/or strategy. This information helps your company stand out amongst a sea of other trucking companies.
Signature
❌
SUBMIT
First Name
Last Name
Company name
Phone number
Work Email
Type of Driver You Need
Please select
Class-A CDL:
Tractor-trailers
Tractor-trailer buses
Truck and trailer combinations (double and triple trailers)
Flatbeds
Tanker vehicles
Livestock carriers
Class-B:
Straight trucks
Large buses (school buses, city buses, tour buses)
Segmented buses
Dump trucks with small trailers
Box trucks (Couriers, delivery drivers, furniture/appliance delivery)
Motor Homes
Class-C:
Passenger vans
HAZMAT vehicles
SUBMIT