KrossFleet LLC Subcontractor Application

Name

First

Middle

Last

Phone

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Driver's License Number:

Insurance Information (Please check all that apply):

*KrossFleet Commercial Insurance option is for those who are already on a KrossFleet Commercial Insurance Plan

Insurance Details:

Please include carrier, policy number, and expiration date. Only if applicable.

Will you be using your own vehicle?

Year of Registration

The current registration expiration date

Make (eg Ford)

(Please using own

Model (eg Mustang)

Vehicle identification number (VIN)

Resume Upload

Click or drag files to this area to upload. You can upload up to 2 files.

*Please upload a current resume and any other document you would like to be considered