Gresham's Subcontractor Form

Subcontractor Form
Full Name*

First NameMiddle NameLast Name
What position(s) can you fill? (Check all that apply)

Salt truck operatorPlower (company truck)Plower (own truck)Sidewalk Crew (own truck)Sidewalk Crew
Social Security
Your SSN is necessary to process your 1099-Misc. If you do not want to send through this form, we will need to get the information from you before payment can be made.
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Emergency Contact

First NameLast Name
Relationship
Emergency Contact Relationship
Emergency Phone

Area CodePhone Number
Vehicle and Driver Information

If you are using your own vehicle, please provide vehicle information by listing Year, Make, and Model.
Drivers License #*
Please Include your complete driver's license.
Indicate License Type*

OperatorsChauffeursCDL
Vehicle
Please include the Year/Make/Model
Vehicle #2
Please include the Year/Make/Model
Employment Information

If you will be working at another job this winter, please fill in the form below.
Employer
Employer Address

Street Address

Street Address Line 2

City
Work Schedule*
Please indicate your typical work schedule, including days of the week and hours.
Are you available to occasionally work during deep or late falling snows?*

I am available.My work schedule is not flexible.
Signature

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Should be Empty:

Subcontractor Form