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Indpendent operator Onboarding

driver compliance

Operator classification
Commercial Auto Liability Limit

ACORD COI REQUIRED — insurance cards are not accepted as substitute evidence.


Driver License

EXP Date
Month
Day
Year

Local chauffeur/livery license number:


 State passenger-for-hire operating authority:


 USDOT:


 MC:


 TLC / PUC / TCP / equivalent:


 Airport(s) authorized:


 Airport permit number(s):


 Expiration date(s):


Authorization for BelZ to obtain/review MVR
Yes
No
Background screening authorization:
yes
no

Vehicle(s)

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