Driver Hiring Form

Thank you for accepting our offer as a driver. Please complete the following background check form and acknowledge the terms and conditions for employment with Supreme Oil & Service Corp.

Personal Information

Full Name *

Date of Birth *

Last 4 SSN *

Email *

Phone Number *

Address *

City *

State *

Zip *

Driver License Information

Driver’s License Number *

State of Issue *

CDL Class *

Endorsements (Hazmat, Tanker, TWIC, etc.) *

Expiration Date *

Have you ever had your license revoked or suspended? * yesno

If Yes, please explain

Do you have multiple licenses in another state? * yesno

If Yes, please explain

Document Uploads

License (Front and Back) *

Front

Back

TWIC Card (Front and Back) *

Front

Back

DOT Medical Card (Front and Back) *

Front

Back

MVR (Motor Vehicle Record) *

Resume (optional)

Proof of Work Eligibility (Passport, Green Card, or SSN + ID)

Medical & Job Capability

Do you have any physical restrictions that may prevent you from performing job duties (pulling hose, climbing, lifting, etc.)? * YesNo

If Yes, please explain

Do you wear glasses or corrective lenses? * yesno

If Yes, please explain

Employment Eligibility

Are you legally authorized to work in the United States? * yesno

Will you now or in the future require visa sponsorship? * yesno

Previous Employment & Driving Experience

Previous Employer *

Position Held: *

Dates of Employment: From *

To *

Reason for Leaving *

Type of Truck Driven * FuelBoxTankerOther

If Other, please specify

Years of Driving Experience: *

Professional References

Reference 1 *

Company *

Phone *

Reference 2 *

Company *

Phone *

Payroll & Direct Deposit Authorization

Bank Name *

Routing Number *

Account Number *

Account Type * CheckingSavings

Attach a voided check or bank letter *

I authorize Supreme Oil & Service Corp. to initiate direct deposits to my account and make debit entries for any necessary payroll adjustments. This authorization will remain in effect until written notice of cancellation is provided.

Emergency Contact

First Name *

Last Name *

Relationship *

Phone *

Email *

Consent & Signature

I certify that all information provided is accurate and truthful. I authorize Supreme Oil & Service Corp. to review this information and conduct a comprehensive background check, which may include accessing driving records, employment history, and criminal background.

I have also reviewed and agree to abide by the terms in the *Supreme Oil & Service Corp. Driver Consent & Employment Agreement* and company policies.

Applicant Signature *

Date *

Print Name *

Employment Agreement (Driver)

This Employment Agreement (“Agreement”) is made as of the day of , between Supreme Oil & Service Corp. (“Employer”) and (“Employee”).

Employee acknowledges that in the course of employment, they may gain access to confidential company information, client data, and trade secrets. The Employee agrees to abide by all company policies and to conduct themselves professionally and ethically at all times.

Driver License Status and Responsibility Clause

The Employee agrees to immediately inform Supreme Oil & Service Corp. of any change in the status of their driver’s license, including but not limited to suspension, revocation, or restriction.

If the Employee fails to report such changes and the company is found liable or receives any fines, penalties, or legal action as a result, the Employee shall be responsible for all related costs, including fines, attorney’s fees, and legal expenses.

Failure to disclose any changes to license status may result in immediate termination.

Drug & Alcohol Policy

Employee agrees to comply with all DOT and company drug and alcohol testing policies, including pre-employment, random, reasonable suspicion, and post-accident testing. A positive test or refusal to test is grounds for immediate termination.

Accident & Incident Reporting

Employee must immediately report any accident, incident, or damage occurring during work operations to the Employer. Failure to report may result in disciplinary action and termination.

Vehicle & Equipment Responsibility

Employee agrees to inspect assigned vehicles before and after each shift and is responsible for reporting any mechanical or safety issues. Employee shall be responsible for negligent damage to company vehicles or equipment.

Gps And Tracking Acknowledgment

Employee acknowledges that all company vehicles are equipped with GPS tracking devices and agrees that data collected may be used for safety, performance, and compliance purposes.

Confidential Client & Pricing Clause

Employee understands that all customer information, delivery routes, and pricing structures are confidential and proprietary to Supreme Oil & Service Corp. Any disclosure or use for personal gain will result in termination and possible legal action.

Electronic Communication & Monitoring

Employee acknowledges that all company communication systems (including email, text, and dispatch platforms) may be monitored for quality and compliance.

Release Of Liability

I understand and acknowledge that working in the fuel delivery and trucking industry involves inherent risks. I agree to assume full responsibility for any injury or damage caused by my actions or negligence.

I release and discharge Supreme Oil & Service Corp., its officers, and employees from all liability, claims, or demands for injuries or damages arising from my participation in company operations or use of company property.

I agree to indemnify and defend Supreme Oil & Service Corp. against all claims, damages, costs, or attorney fees resulting from my conduct or negligence.

I understand that Supreme Oil & Service Corp. is not responsible for loss or damage to personal property (e.g., phone, jewelry, tools, or personal items) left in company vehicles or facilities.

Non-disclosure Agreement

Employee acknowledges that in the course of employment, they will have access to confidential and proprietary information including customer lists, pricing structures, business plans, and operational data.

Employee agrees not to disclose or use this information for any purpose other than fulfilling their duties at Supreme Oil & Service Corp. during and after employment. Any unauthorized disclosure will result in legal action, including possible injunctions and recovery of damages and attorney fees.

Employee agrees not to solicit or conduct business with Supreme Oil’s customers or partners for personal or competitive purposes during employment and for one (1) year after termination.

General Provisions

This Agreement constitutes the entire understanding between the parties.
It may not be amended except in writing signed by both parties.
This Agreement shall be governed by the laws of the State of New York.
Any disputes shall be resolved in Westchester County, NY.
If any provision is found invalid, the remaining sections shall remain in full force.

Employment is at-will and may be terminated by either party at any time with or without cause.
Employee shall maintain all required licenses, endorsements, and certifications necessary for fuel delivery and driving duties.
Any theft, misappropriation, or unauthorized use of company or client property will result in termination and legal action.
Employee must return all company property immediately upon termination.
Employee shall be responsible for any loss or shortage of company fuel inventory under their supervision.
Employee agrees not to compete or solicit clients of the company for a period of one (1) year after termination.

Acknowledgment Of Receipt

By signing this Agreement, Employee acknowledges that they have received, read, and understood this Agreement and the Company’s Employee Handbook and agree to comply with all company policies.