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Independence

By Andrew Horn | June 9, 2020

12500 E 40 Hwy
Independence, MO 64055

17700 E. 39th Street South
Independence, MO 64055

19000 E Eastland Ctr Court
Independence, MO 64055

19550 E 39th Street South
Independence, MO 64057

19550 East 39th Street South
Independence, MO 64057

3675 Noland Rd
Independence, MO 64055

3675 South Noland Road
Independence, MO 64055

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DOT Consortium Program Enrollment Form

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Company Name:*
Step 1: Contact Information:
Contact Name:*
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Company DOT Name:
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Consortium Type: Check 1 box only, Designated Employee Representative (DER) information is required*
*
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Owner Operator:*
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Driver SSN or Employee ID:*
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* DOT pre-employment drug test must be completed before driver is added to random pool.

Step 2: Choose Enrollment Package:
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  - Paper CCFs or Electronic CCFs
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  All Benefits of Basic Package plus:
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  - Part 40.25 Form (Required for all drivers)
Optional Add On
*
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- Part 40.25 Form ($25)
- Supervisor Training ($50/each)
- Paper Copies of 49 CFR Part 40 & 382 ($25)
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- No Additional Add-Ons = $0.00
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