JASKO - Owner Operator Inquiry and Application

Owner Operator Inquiry and Application — OO-FRM-001

JASKO ENTERPRISES, INC. · FORM OO-FRM-001 · REV. 0 · EFFECTIVE NOVEMBER 1, 2026

Use this form for a prospective owner-operator seeking to contract with JASKO. It is not an employment application, offer of employment or guarantee of activation.

SAFETY AND QUALIFICATION SCREENING

☐ Each proposed driver holds a valid Class A CDL
☐ Each proposed driver has current medical qualification
☐ Each proposed driver will complete JASKO qualification
☐ Accident and violation history disclosed
☐ DOT drug alcohol history disclosed
☐ Clearinghouse status disclosed
☐ Equipment meets proposed operating requirements
☐ Applicant understands independent contractor status
☐ Applicant understands no load volume revenue or profit is guaranteed

CERTIFICATION AND SIGNATURE

I certify that the information I provided is true, complete and accurate. I understand that an electronic signature has the same effect as a handwritten signature where permitted by law.

Your information

Authorized contractor representative printed name * Legal entity name * DBA Entity type * State formed EIN secure record reference Authorized signer Business address * Email * Telephone * Years in business Number of tractors Number of proposed drivers Available date Preferred lanes Home time plan Own trailer Requests JASKO trailer Self dispatch interest Expected weekly miles Current carrier if any Safety and qualification screening — exceptions or notes Date *

Signature

Signature * — sign in the box with mouse or finger

Your signature is captured electronically when you continue.

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