@extends('layout') @section('body')

@error('firstname')

Driver First Name is required.

@enderror @error('lastname')

Driver Last Name is required.

@enderror @error('email')

Driver email is required.

@enderror @error('dlnumber')

DL/CDL Number is required.

@enderror @error('dlstate')

DL/CDL issued state is required.

@enderror @error('dlexpired')

DL/CDL expired date is required.

@enderror @error('dlclass')

DL/CDL Class is required and MAX:2

@enderror @error('medicalexpired')

Driver Medical expired date is required.

@enderror @error('truckplateexpired')

Truck plate expired date is required.

@enderror @error('truckinsuranceexpired')

Truck insurance expired date is required.

@enderror @error('truckannual')

Truck Annual Inspection expired date is required.

@enderror @error('truckleasename')

Truck Owner Name/Company is required.

@enderror @error('truckleaseaddress')

Truck Owner Name/Company Address is required.

@enderror @error('trailerplateexpired')

Trailer plate expired date is required.

@enderror @error('trailerinsuranceexpired')

Trailer insurance expired date is required.

@enderror @error('trailerleasename')

Trailer Owner Name/Company is required.

@enderror @error('trailerleaseaddress')

Trailer Owner Name/Company Address is required.

@enderror @error('trucknumber')

Truck Number must be numeric.

@enderror @error('trailernumber')

Trailer Number must be numeric.

@enderror @error('truckyear')

Truck Year must be numeric.

@enderror @error('traileryear')

Trailer Year must be numeric.

@enderror @error('salary')

Driver Salary must be numeric.

@enderror @error('ownersalary')

Owner Salary must be numeric.

@enderror

@csrf

Driver Information:

First Name*:

Last Name*:

Middle Name:

Date Of Birth:

Email*:

Driver License:

DL/CDL #*:

Issued State*:

Expiration Date*:

DL/CDL Class*:

DL/CDL Endorsement:

Contact information:

Address 1:

Address 2:

City:

State:

ZIP code:

Home Phone:

Work Phone:

Send statement/invoice by:

Email

Text messages (SMS)

Safety:

Medical Card Expiration Date*:

Pre-Employment MVR Date:

Emergency Contact Name:

Emergency Phone:

Emergency Relationship:

Accounting:

Fuel Card #:

IPass #:

Truck information:

Truck #:

Truck Make:

Truck Model:

Truck Year:

Truck VIN:

Truck Plate:

Plate Expiration*:

Insurance Expiration:

Annual Inspection*:

Truck Owner Information:

Owner Name/Company*:

Owner Full Address:*:

This information for generating Lease Documents

Trailer information:

Trailer #:

Trailer Make:

Trailer Model:

Trailer Year:

Trailer VIN:

Trailer Plate:

Plate Expiration*:

Insurance Expiration:

Trailer Owner Information:

Owner Name/Company*:

Owner Full Address:*:

This information for generating Lease Documents

Driver Company:

Company Name:

Address 1:

Address 2:

City:

State:

ZIP code:

Owner Information:

First Name:

Last Name:

Middle Name:

Home Phone:

Work Phone:

Email:

Owner Company:

Company Name:

Company Address 1:

Company Address 2:

Company City:

Company State:

ZIP code:

Statement:

Owner salary %:

Driver Salary %:

@endsection @section('script') @endsection