Credit Card Payment

Credit Application

 

SPECIAL SERVICE FREIGHT COMPANY

Phone: 704-587-0001

Toll Free: 800-777-6068

Fax: 704-587-0966

Confidential Credit Application for Transportation and Related Charges

If you need further assistance please contact Denise Horstmann at accounting@specialservice.net

COMPANY INFORMATION























** Please forward Surety Bond and Insurance Cerificate **

TRADE REFERENCES (Where possible please include at lease two motor carriers)

REFERENCE 1


REFERENCE 2


REFERENCE 3


On behalf of the company, I certify that we are familiar with and agree to abide by the Interstate Commerce Act, and Recodification thereof, pertaining to the payment of Transportation and related charges. I hereby grant permission to the above credit references to release pertinent information regarding our accounts to Special Service Freight Company. Furthermore, my signature attests to the financial responsibility, ability, and willingness of the Company to pay all transportation and related charges, and commits the Company to pay within 30 days of the invoice date. A monthly administrative fee of $25 and interest of 1.5% per month will be charged on all overdue accounts.

Employment

SPECIAL SERVICE FREIGHT COMPANY

Phone: 704-587-0001

Toll Free: 800-777-6068

Fax: 704-587-0966

Special Service Initial Online Employment Application

Available to work overtime:
YESNO
Are you citizen of the United States?
YESNO
If no, are you authorized to work in the U.S.?
YESNO
Have you ever worked for this company?
YESNO
Have you ever convicted of a felony?
YESNO
If selected for employment review are you willing to submit to pre-employment drug screening?
YESNO

Previous Employment

Last/Current job

May we contact your last supervisor for reference?
YESNO

Prior Employment

First Employment

May we contact your last supervisor for reference?
YESNO

Second Employment

May we contact your last supervisor for reference?
YESNO

Military Service

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

By adding my initials to the signature line I confirm I am sending this to you for your review and you may use it in any way you see fit.

Operating Authorities

HAZMAT

W9

DOT Satisfactory

Smartway

SCAC 2018