Owner Operator/Contractor Application

Refrigerated Food Express, Inc. is a 100% Owner Operator/Contractor Company in business since 1952. We have dispatch offices across the country, and can offer regional and long haul runs to qualified Owner Operators/Contractors.

We believe in strong family values that offers all Owner Operator / Contractors quality home time, weekly settlements, with no up front costs. We recognize the value of good Owner Operator/Contractors and continually reward their efforts.

Owner Operator Benefits

Name:
Address:
City:
State:
Zip:
Phone:
Email:
DOB:
Owner-Driver Status:	Owner Driver
Social Security #:
License #:
State Issued:
Expiration Date:
# Years OTR Experience:
# Tickets last 3 years:
Ever Convicted of a DUI:	Yes No
# DUI in last 5 years:
Has your license ever been suspended or revoked?	Yes No
If yes, when & why?
Accident Information
Date:
Nature of Accident:
Injuries:
Damages - Total $ Loss:
Preventable?	Yes No
Date:
Nature of Accident:
Injuries:
Damages - Total $ Loss:
Preventable?	Yes No
Driving History:
Present or Last Company:
Beginning Date:
Ending Date:
Company Address:
City:
State:
Zip:
Phone:
Type of Trailer:
Number of States:
Previous Driving Company:
Beginning Date:
Ending Date:
Company Address:
City:
State:
Zip:
Phone:
Type of Trailer:
Number of States: