Owner/Operator Application | Givens Freight Lines

Givens Freightlines Owner/Operator Application

First name

Last name

Phone

Birthday

Month

Day

Year

Address

CDL NUMBER

CDL STATE

CDL CLASS

YEARS OF CDL EXPERIENCE

ENDORSEMENTS

Do you have at least 2 years of verifiable experience?

YES

Have you had any accidents in the last 3 years?

YES

IF YES, PLEASE EXPLAIN

Have you had any violations in the last 3 years?

YES

IF YES, PLEASE EXPLAIN

TRUCK YEAR

TRUCK MAKE

TRUCK MODEL

VIN #

MILEAGE

TRUCK TYPE

SLEEPER

DAY CAB

TRANSMISSION

AUTOMATIC

MANUAL

DO YOU OWN YOUR TRAILER

YES

TRAILER YEAR/MAKE/VIN

ARE YOU WILLING TO RUN TX → SOUTHEAST → MIDWEST → TX LANES

YES

MINIMUM WEEKLY GROSS REVENUE GOAL?

DO YOU CURRENTLY HAVE PHYSICAL DAMAGE INSURANCE?

YES

DO YOU CURRENTLY HAVE BOB TAIL/ NON TRUCKING LIABILITY INSURANCE?

YES

ARE YOU WILLING TO RUN UNDER GIVENS FREIGHT LINES SAFETY AND COMPLIANCE POLICIES?

YES

ARE YOU WILLING TO USE COMPANY APPROVED ELD TRACKING SYSTEMS?

YES

ARE YOU WILLING TO COMPLETE A DRUG TEST BEFORE ONBOARDING?

YES

Documents to Upload

Please upload clear copies of the following:

☐ CDL front and back

☐ Medical card

☐ TWIC card, if applicable

☐ Truck registration

☐ Cab card

☐ Insurance documents

☐ Truck photos

☐ Trailer photos, if applicable

☐ Voided check or direct deposit form

☐ W-9

☐ Recent DOT inspection, if available

File upload

CURRENT/MOST RECENT CARRIER?

HOW LONG WERE YOU LEASED ON?

REASON FOR LEAVING OR LOOKING TO MOVE?

OTHER PREVIOUS CARRIER

HOW LONG WERE YOU LEASED ON?

REASON FOR LEAVING OR LOOKING TO MOVE?

WHEN ARE YOU AVAILABLE TO START?

DO YOU HAVE ACTIVE LOADS BOOKED?

YES

ARE YOU CURRENTLY UNDER CONTRACT WITH ANOTHER CARRIER?

YES

WHAT ARE YOU LOOKING FOR IN A CARRIER?

ANYTHING ELSE WE SHOULD KNOW?

SIGNATURE

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By submitting this application, I certify that all information provided is true and accurate to the best of my knowledge. I authorize Givens Freight Lines to review my driving history, verify employment, request safety records, and contact references as part of the qualification process.

Date

Month

Day

Year