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Company Owner Profile
IT Ops Openforce
2022-05-25T16:31:16+00:00
Tell us about you and your company.
Thank you for your interest in becoming an Openforce client. Please take a moment to fill out the forms below so that we can align your needs to our products and services in the best way possible.
Company Owner Profile
Name
*
First
Last
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
State / Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Company Information
Company Name
*
Company Website
Company type
*
Select
No Company
Sole Proprietor with EIN
Single Member LLC
C Corporation
S Corporation
Partnership
Industry that best fits your company
*
Select
3PL (Truck Brokerage, Freight Forwarding)
Assembly
Courier (Less than 10k lbs)
Field Services
Final Mile Delivery (10k-26k lbs)
Gig Workforce
Home Health
Trucking/Drayage (26k+ lbs)
Other
Are you a master contractor
*
YES
NO
Current number of contractors
*
Select
None
1 to 5
6 to 10
11 to 25
26 to 50
51 to 200
201 to 1000
1001 to 10000
10001 or more
Number of contractors in the next 6 months
*
Select
None
1 to 5
6 to 10
11 to 25
26 to 50
51 to 200
201 to 1000
1001 to 10000
10001 or more
Industry and Workforce Information
Type of services performed or delivered goods
*
Contractors work in teams (e.g. drivers with helpers)
*
YES
NO
Contractors enter residential homes
*
YES
NO
Installation of goods on residential property
*
YES
NO
Workers contract directly with your company
*
YES
NO
Signed contract with all contractors
*
YES
NO
Contractors are able to negotiate pay rates
*
YES
NO
Contractors submit invoices
*
YES
NO
Contractor pay rate
*
Select
Hour
Mileage
Package
Stop
Contractor pay frequency
*
Select
Weekly
Biweekly
Semimonthly
Monthly
Deductions are taken from contractor pay
*
YES
NO
Average amount of pay per contractor
*
Perform background and MVR check and drug test on all contractors
*
YES
NO
Prior state agency contractor misclassification challenges
*
YES
NO
Software program to manage contractors
*
YES
NO
Name of dispatch software program used
*
Prior use of a third-party administrator for contractor management
*
YES
NO
Current pain points with contractor management
*
Required contractor enrollment forms
*
Certificate of insurance
Vehicle registration
Driver license
None
States you preform work in
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
License, Insurance and Vehicle Information
Primary contractor driver license type
*
Select
Class A Commercial
Class B Commercial
Class C Commercial
Class D Regular
Class E Taxi and Livery
Primary contractor insurance coverage
*
Select
Personal Auto
Commercial Auto 100/300
Commercial Auto $750K
Commercial Auto $1M
Contractors use their own vehicles for work
*
YES
NO
Primary contractor vehicle type
*
Select
2-Person Appliance Capacity
Economy Sedan
Minivan / SUV / Pickup Truck
Cargo Van
Sprinter Van
Flatbed Truck
Panel Truck (FedEx/UPS style)
16 ft. Box Truck
20 ft. Box Truck
24 ft. Box Truck
26 ft. Box Truck
16-20 ft. Box Truck with Lift
24-26 ft. Box Truck with Lift
Tractor Trailer
Your company provides leased vehicles
*
YES
NO
Signed lease agreement with contractors
*
YES
NO
Company DOT number
Company Motor Carrier number
Require contractors to carry vehicle and/or occupational accident insurance
*
YES
NO
Name of your insurance broker for company-related insurances
Additional insurance policies your company holds
Cargo
Occupational Accident
General Liability
Physical Damage
In-Service Liability/While Under Dispatch
Workers Compensation
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