Name:
*
Company Name:
*
E-mail:
Telephone Number:
Place of Residency:
*
Alberta WCB Account #:
Will the owner drive the truck:
*
Yes
No
Driver Age minimum 25 years:
*
Yes
No
Driver has minimum 3 years Class 1 Driving Experience:
*
Yes
No
Can the driver cross the USA/Canada border:
*
Yes
No
Would you require fuel cards from WTW:
*
Yes
No
When can you start?
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Comments
Should be Empty: