Driver Application

Personal Information:
Taxi Driver's License #*
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Taxi Driver's License Expiry Date*
DD slash MM slash YYYY
Name*
First Middle Last
GST #*
Home Phone #*
Cell Phone #
Address*
Street Address Address Line 2 City Province Postal Code
Driver's License #*
Class*
Conditions
Email Address*
Have you ever had employment that required driving a vehicle?*
For how long?
Date you moved to Calgary*
DD slash MM slash YYYY

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Please List Your Last 3 Businesses or Employers:
Company Name*
Started*
DD slash MM slash YYYY
Finished*
DD slash MM slash YYYY
Occupation*
Reason for leaving:*
Company Name
Started
DD slash MM slash YYYY
Finished
DD slash MM slash YYYY
Occupation
Reason for leaving:
Company Name
Started
DD slash MM slash YYYY
Finished
DD slash MM slash YYYY
Occupation
Reason for leaving:
Have you ever been driving a vehicle at the time of a motor vehicle accident (Fault or No Fault)*
Date of first accident
DD slash MM slash YYYY
Fault or No Fault?
Date of second accident
DD slash MM slash YYYY
Fault or No Fault?
Date of third accident
DD slash MM slash YYYY
Fault or No Fault?
Have you ever had to seek Medical Attention due to any injuries as a result of a motor accident?*
When and what was the nature of the injury?*

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Please list 3 Personal references/friends who are not working with Checker and not Relatives.
Name*
Phone*
Occupation*
Name
Phone
Occupation
Name
Phone
Occupation
In case of emergency please contact Name*
In case of emergency please contact Phone*

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Legal
I am aware that this is a contractual afﬁliation with a Taxi company and my business as a Taxi Driver is as an independent contractor and is self-employment. I therefore will be completely and solely responsible for maintaining my own ﬁnancial records and for submitting any and all remittances to the Canada Revenue agency and any other applicable agencies.
If authorized to become afﬁliated with the Checker Group, I will forthwith report to the Checker Group in writing any changes in my status of any and all permits and/or licenses that enable me to work as a Taxi Driver in the city of Calgary.
I am aware that I will be responsible for any Insurance Deductibles, damages to, or loss of Company Equipment, or damages to any Customer’s belongings entrusted to my care that are deemed by the Company’s ofﬁcers to be wholly or partially my fault, and I will pay any such charges forthwith.
I hereby authorize the Company to obtain any of my driving, business 01' work records, or ﬁnancial records as they may from time to time deem necessary for business purposes.
I agree to abide by all Company rules, policies and regulations.
I’m aware that the Company may terminate my affiliation at any time if the Information herein is not accurate or complete.
Confirmation*
- By Checking this box I confirm that I have read and have agreed to the above statements and will not hold The Checker Group liable for any instances that may occur.
Please write your name, which will act as an electronic signature.*
Comments (include special conditions to be met, if any)

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Document Upload
If you don't have all of your documents currently, you can click "Save and Continue Later" to save your form and finish later. We will send you an email with a link to get back to your saved form. You can create an account and take the relevant exams here: View Exams
Drivers License Copy*
Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
Taxi Badge Copy*
Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
Driver Abstract (Current - 3 Years)*
Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
Phone
This field is for validation purposes and should be left unchanged.

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Step 1 of 5

Personal Information:

Please List Your Last 3 Businesses or Employers:

Please list 3 Personal references/friends who are not working with Checker and not Relatives.

Legal

Document Upload