Get Lbc Fill Up Form

Filling out the Lbc Fill Up Form online is an essential step for individuals applying to become pick-up contractors. This guide provides clear, step-by-step instructions to ensure that you accurately complete every section of the form.

Follow the steps to fill out the Lbc Fill Up Form online effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin with Part A: Applicant Information. Fill in your first name, middle initial, and last name. Answer the question regarding any other names you have used. If applicable, provide the name used.
3. Enter your current residence address, including city, state, and zip code. If you have lived at your current address for less than five years, list your previous addresses along with the dates you occupied them.
4. Provide your home phone number, cell phone number, email address, date of birth, social security number, and driver’s license number along with the place of issue and expiration date.
5. Complete the employment history section for the past three years. List your employers along with your title/position, address, phone number, and dates of employment.
6. Indicate whether you have been arrested for any reason other than minor traffic violations. If yes, attach a detailed statement.
7. Answer whether you have ever been dismissed or asked to resign from any past employment and provide the required details if applicable.
8. Specify if you are currently a contractor or agent for other cargo companies. If yes, provide the company name, year you started, and if an exclusivity clause exists.
9. Proceed to Part B: Vehicle Information. State the type of vehicle (make and model) and confirm if the vehicle is insured. Indicate if there will be multiple drivers.
10. In Part C: Pick-up Information or Schedule, list the days and times you are available for pick-up.
11. Describe how you will keep shipping units secure from tampering or damage.
12. List the areas, cities, or zip codes you are able to cover.
13. In Part D: Personal References, provide the name and address of your reference. State if you are related to an LBC employee, their name, your relationship, and how long you have known them.
14. Review the Certification section and ensure you understand the background checks conducted by LBC. Sign and date the form, and print or type your name.
15. Once you have completed the form, save your changes. You can download, print, or share the form as needed.

Start filling out the Lbc Fill Up Form online today to take the first step towards becoming a pick-up contractor.