Carrier Information Form Request for Independent Contractor Routes Finish Contact Information * First Name * Last Name * Address P.O. Box/Apt # * City * State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyomingPuerto RicoUS Virgin IslandsArmed Forces AmericasArmed Forces PacificArmed Forces EuropeNorthern Mariana IslandsMarshall IslandsAmerican SamoaFederated States of MicronesiaGuamPalauAlberta, CanadaBritish Columbia, CanadaManitoba, CanadaNew Brunswick, CanadaNewfoundland, CanadaNova Scotia, CanadaNorthwest Territories, CanadaNunavut, CanadaOntario, CanadaPrince Edward Island, CanadaQuebec, CanadaSaskatchewan, CanadaYukon Territory, Canada * Zip Code * Home Phone Cell Phone Email Verify Email Eligibility Do you have a valid Social Security or Worker ID number? Yes No Have you ever been convicted of a felony, or any crime involving a minor or sex offense? Yes No If yes, please explain: You have 200 words remaining. Reliability Newspaper carriers are responsible for providing on-time delivery of our products in good condition everyday. In the event you are unable to deliver your route, you are responsible for providing a substitute to deliver for you.Drivers License and proof of minimum-required liability insurance required if using a vehicle on routes. Do you have someone you can rely on to deliver your route if you are unable to? Yes No Do you have a reliable vehicle? Yes No Do you have liability insurance for the vehicle? Yes No Past Experience and Availability Have you ever been a newspaper carrier? Yes No If yes, when and where? You have 200 words remaining. Neighborhood or areas you can deliver to: You have 200 words remaining. Are you interested in delivering newspapers and other products 7 days a week? Yes No Are you interested in delivering advertising products once a week? Yes No Further Information How did you hear about this opportunity? You have 100 words remaining. Please provide any additional information that will assist us in reviewing your form: You have 300 words remaining. Are you over 18? (If not, Parent/Guardian consent required) Yes No Verify and Submit CAPTCHA
