Food Dudes Delivery | Driver Enrollment

Let's Get Started!

This process should only take you 10-15 minutes to complete!
Food Dudes Delivery services six U.S. states. Which are you interested in?
Great, what city in Colorado?
Great, what city in Iowa?
Great, what city in North Dakota?
Great, what city in South Dakota?
Great, what city in Minnesota?
Great, what city in Wisconsin?
Are you new here?

INSURANCE INFORMATION
Insurance Company*
Agent Name (if applicable)
Phone
What type of coverage do you carry?*
Expiration Date*

MonthDayYear
Date
Effective Date*

MonthDayYear
Date
Insurance Card*

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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DRIVERS LICENSE INFORMATION
Driver's License Number*
State of Issue*
Date of Expiration*

MonthDayYear
Date
Date of Birth*

MonthDayYear
Date
Driver's License*

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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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.*

YesNo
Please explain the nature of the offense.

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 CorporationS CorporationPartnershipTrust / 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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Date*

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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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Date*

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