Driver’s Application Form

Working at Bil-Mac is an exciting and rewarding opportunity, with many benefits including:

  • Medical and Dental Benefits
  • Overtime Pay
  • 401(k)
  • Newer, Well-Maintained Equipment
  • Your Own Vehicle
  • Company-Provided Uniforms

Name

Mailing Address

Email Address

Daytime Phone

Evening Phone

Driver License Number

State Issued


Have you worked with us before?

Class A CDL?

Class B CDL?

Any Moving Violations? (in the previous 5 years)

Hazmat/Tanker Endorsement?

Has Your License Ever Been Revoked?

Have You Ever Had A DUI?

Ever Been Convicted Of A Felony?

# Of Years LOCAL Delivery Experience

# Of Years Experience With Flat Bed

# Of Years Experience With Step Deck

# Of Years Experience With Double Drop

# Of Years Experience With Heavy Haul