Independent Driver Agreement Form

Please complete the form and click on the submit button when finished.
  • By typing your name into the box below, I do hereby give my permission to The Chronicle-Telegram, their agent or representative to have a motor vehicle drivers record report made available of myself for the purpose of evaluation and consideration by The Chronicle-Telegram in engaging my service as an Independent Driver or outside solictor and not as an agent or employee of The Chronicle-Telegram.
    **** If contracted, proof of automobile insurance is required ****