OWNER / OPERATOR ENROLLMENT PACKET

OWNER / OPERATORENROLLMENT PACKETD river Name:_____Client #: _____ID #: _____All required documents in this booklet must be filled out signed and returned to SCI within 3 daysto ensure proper ENROLLMENT . Feel free to copy any documents in this book for your files, but DONOT tear any pages out. Insert the necessary copies of your driver s license, vehicle registrationand insurance card inside the back cover of the booklet. A copy of your contract along with anyother documents necessary for your files will be sent to you in your post ENROLLMENT to SCI!Enclosed please find the forms necessary for you to complete and sign, in order for SCI to processyour OWNER / OPERATOR Agreement. The following forms must becompleted immediatelyandreturned to SCI s client withinthree daysof your contract date.

Operator accepts a recommended Occupational Accident Insurance plan or provider, then Owner / Operator authorizes and directs SCI to deduct directly from any compensation payable to Owner / Operator a program fee for services furnished hereunder, the costs and premiums payable in connection with the maintenance of such policy for Owner /

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Tags:

  Insurance, Premium, Ducted, To deduct

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