Owner Op Application – JDSB Trucking LLC

Owner Operator Application

Thank you for your interest! Please complete information below. We will reach out shortly!

Step 1/4:

Owner Operator Application

Full Name* *

Phone* *

Address* *

Email* *

Company Info

Company Name (optional)

Company Address (optional)

State of Incorporation* *

Driver Info

Drivers License#* *

Drivers License Expiration Date* *

DL State* *

Years of Driving* *

Years of Being an Owner Operator* *

Truck Info

We currently are only accepting trucks 1999 and newer and must be able to connect to our ELD (optional)

Year *

Make* *

Model *

VIN# *

Sleeper?* *

Yes

Plate Number* *

Plate State (optional)

Bobtail Insurance Info

Bobtail Insurance company *

Policy Number *

Employment History

Please only use companies that you have leased onto or where you were an employee. Please do not list your company. (optional)

Previous Employer

Company name *

Address* *

Phone* *

Start Date* *

End Date *

Please put current month and year if this is your current employer.

Current employer

Description of duties *

Can we contact this employer? *

Yes

Previous Employer

Company name *

Address* *

Phone* *

Start Date* *

End Date *

Please put current month and year if this is your current employer.

Description of duties *

Can we contact this employer? *

Yes

Previous Employer

Company name *

Address* *

Phone* *

Start Date* *

End Date *

Please put current month and year if this is your current employer.

Description of duties *

Can we contact this employer? *

Yes

Traffic violations or accidents in the last 5 years? *

please describe any violations/warnings, tickets received, and any accidents in the last 5 years. Please put N/A if none

Owner Operator Application

Thank you for your interest! Please complete information below. We will reach out shortly!

Owner Operator Application

Company Info

Driver Info

Truck Info

Bobtail Insurance Info

Employment History

Previous Employer

Previous Employer

Previous Employer

Contact Us

Email: info@jdsbtrucking.net

Phone: 815-709-7992

Fax: 779-279-2195

Useful Links

Helpful Links

© 2022 JDSB Trucking LLC. All Rights Reserved.