SCI - SubContracting Concepts Inc.

Become a Driver

Vendor Profile / Request to perform delivery services through SCI

All independent contractors soliciting to perform vendor services should either fill out the form below, or print this PDF so that we may qualify your past service levels. If you are soliciting as an independent contractor for the first time, the information included in this form will give us the information we need to set you up in our system as a vednor. If you are approved as an independent contract vendor for SCI, you will be contacted by one of your client courier companies to negotiate rates for your services.

First Name / MI / Last Name:
Company Name: (if any)
EIN #: (if applicable)
Are you a U.S. Citizen?:	Yes No
E-mail:
Address:
City/State/Zip:
Do you own or rent?:	Own Rent
Home Telephone:		Cell Phone:
Pager #:		Fax:
Employer Name:
How did you determine to solicit this courier company for delivery work?
	Newspaper Ad Friend Craig's List Other
If our customers require certain equipment, or in some cases uniforms, would you be willing to rent/lease/buy the following if you don't have them now?
	Radio / Pager / Bar Code Scanner / Uniform Yes No
Do you have any "Sub" drivers that work for you?
	Yes No If Yes, how many?
Vehicle to be used by you for delivery work:
	Year:	Make:
	Model:	Plate #:
	License #:
	Ins. Carrier:	Policy #:
Do you have a current MVR?
	Yes No
Do you currently have a delivery service rate structure you charge your clients?
	Yes No
Would you be willing to negotiate a flat fee for a static route?:
	Yes No
If you have sub drivers, please list their vehicles:
	Year: Make: Model:
	Year: Make: Model:
	Year: Make: Model:
Do you currently carry your own cargo insuance?
	Yes No
Please list the courier companies you have performed services for in the past or currently: (if any)
	Company: Contact: Phone:
	Company: Contact: Phone:
	Company: Contact: Phone:
If this is your first contract as an I/C, please list some professional business references:
	Company: Contact: Phone:
	Company: Contact: Phone:
	Company: Contact: Phone:
What qualities do you posses that would make you a good independent contract courier for SCI?

Do to the fact that our client courier companies may offer you dispatch jobs that would require your presence in financial institutions and possibly some restricted government facilities and due to the fact you may be insured under certain umbrella liability insurance coverages, we need to ask you the following questions:
Have you ever been convicted of a criminal offense?
	Yes No If yes, please explain:
SCI requires that all independent contractors carry their own Workers Comp insurance or participate in our Occupational Accident Insuance plan. Please enter the following information if you have a Workers Comp policy in place:
Carrier:		State:
Policy #: