Contact

Contact LTL Service, Inc.





330 E Mahn Ct. Suite 200, Oak Creek, WI, 53154

Toll-Free: 800.545.9415

Phone: 414.571.9988

Fax: 414.571.1907

info@ltlserviceinc.com

Request a Quote

1. Personal

2. Driver's Info

3. Resume

4. Review & Submit

  • 1/6 - Name
  • 2/6 - Date of Birth
  • 3/6 - Phone and Email
  • 4/6 - Address
  • 5/6 - Social Security Number
  • 6/6 - Previous Residences

Name

Date of Birth (MM/DD/YYYY):

Phone and Email

Address

Social Security Number:

Previous Address 1

Previous Address 2

  • 1/3 - License & Driving Experience
  • 2/3 - Accident Record (Last 3 years)
  • 3/3 - Traffic Convictions & Forfeitures (Last 3 years - Does Not Include Parking Tickets)

Driver's License

Driving Experience

Straight Truck

Tractor and Semi-Trailer

Tractor - Two Trailers

Other

Accident Record for the Past 3 Years or More

Accident 1

Accident 2

Accident 3

Traffic Convictions and Forfeitures for the Past 3 Years (Other Than Parking Violations)

Incident 1

Incident 2

Incident 3

  • 1/7 - First Previous Position
  • 2/7 - Second Previous Position
  • 3/7 - Third Previous Position
  • 4/7 - Fourth Previous Position
  • 5/7 - 5th Previous Position
  • 6/7 - 6th Previous Position
  • 7/7 - Additional Employment Information

Employment Record

Name of Last Employer

Last Employer Address

Position Held

Reasons for Leaving

Name of Second Previous Employer

Second Previous Employer Address

Position Held

Reasons for Leaving

Name of Third Previous Employer

Third Previous Employer Address

Position Held

Reasons for Leaving

Name of Fourth Previous Employer

Fourth Previous Employer Address

Position Held

Reasons for Leaving

Name of 5th Previous Employer

5th Previous Employer Address

Position Held

Reasons for Leaving

Name of 6th Previous Employer

6th Previous Employer Address

Position Held

Reasons for Leaving

Additional Experience

Include any additional employment experience you may have here.

Employment Gap

Any gaps in employment and/or unemployment must be explained. Include dates (MM/YYYY) and reason.

Review & Submit

I verify that the information submitted to this application is legitimate.