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Food Dudes Delivery services six U.S. states. Which are you interested in?
Please Select
Colorado
Iowa
North Dakota
South Dakota
Minnesota
Wisconsin
Great, what city in Colorado?
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Grand Junction
Montrose
Great, what city in Iowa?
Please Select
Des Moines
Sioux City
Great, what city in North Dakota?
Please Select
Bismarck
Fargo
Grand Forks
Minot
Great, what city in South Dakota?
Please Select
Rapid City
Sioux Falls
Spearfish
Great, what city in Minnesota?
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Alexandria
Brainerd
Duluth
Mankato
Saint Cloud
Twin Cities
Willmar
Monticello (NEW)
Moorhead
Great, what city in Wisconsin?
Please Select
Fox Cities
Green Bay
Manitowoc
Two Rivers
Superior
Are you new here?
Please Select
Yes, I am a new driver.
No, I am a returning driver.
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PERSONAL INFORMATION
First Name
*
Middle Name
*
Last Name
*
Phone Number
*
Address (number, street and apt)
*
City
*
State
*
Please Select
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zipcode
*
Email
*
[email protected]
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INSURANCE INFORMATION
Insurance Company
*
Agent Name (if applicable)
Phone
What type of coverage do you carry?
*
Please Select
Liability Coverage (Minimum)
Comprehensive Coverage (Full)
Expiration Date
*
/
Month
/
Day
Year
Date
Effective Date
*
/
Month
/
Day
Year
Date
Insurance Card
*
Browse Files
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Take a picture of the front of your insurance card or declarations page. You must be listed as a covered individual on the policy.
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VEHICLE INFORMATION
Year
*
Make
*
Model
*
Color
*
VIN
*
License Plate Number
*
License Plate State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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DRIVERS LICENSE INFORMATION
Driver's License Number
*
State of Issue
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date of Expiration
*
/
Month
/
Day
Year
Date
Date of Birth
*
/
Month
/
Day
Year
Date
Driver's License
*
Browse Files
Drag and drop files here
Choose a file
Take a picture of the front of your driver's license ensuring that all four corners of the ID are visible and that all text is legible.
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EMERGENCY CONTACT
Name
*
Relationship
*
Phone
*
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Conviction Disclosure
Please note that a previous conviction will not necessarily preclude you from becoming an independent contractor with Food Dudes Delivery.
Have you ever been convicted of a crime? A conviction will not necessarily prevent your from becoming a contractor.
*
Yes
No
Please explain the nature of the offense.
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Request for Taxpayer Identification Number
We're required by the Internal Revenue Service (IRS) to obtain your taxpayer identification information so that we can issue a 10-99 form at the end of the tax year.
Social Security Number
*
This information is secure and applied to Form W-9.
Tax Classification
*
Individual / Sole Proprietor (Default)
C Corporation
S Corporation
Partnership
Trust / Estate
Taxpayer Certification
Under penalties of perjury, I certify that: 1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding; and 3) I am a U.S. citizen or other U.S. person and 4) The FATCA code(s) entered on this form (if any) indicating that I am exempt from FACTA reporting is correct.
Signature of U.S. Person
*
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Independent Contractor Agreement
Contracts are boring, but it's important that you review the details of the Independent Contractor agreement between you and Food Dudes Delivery, LLC. Click the "Preview PDF" button below to review the entirety of the contract along with the other documents completed during this enrollment form.
Agreement
*
I have reviewed the Independent Contractor Agreement. I further agree that my digital signatures used on this form are adopted by me and hold the full weight of my handwritten signature.
Signature
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