Nomination Form For Trucking Family In Need

To apply for benefits from Trucker’s Christmas Group we will need some information.

If you are applying for yourself please also upload a picture of your CDL

Please fill out the form completely.

Nominees must be a legal resident of the US or Canada.

All information gathered is held in house and not shared with the public unless express permission is given.

NOMINATIONS FOR THE 2018 SEASON ARE NOW OPEN AND WILL CLOSE AT 23:59 ON DECEMBER 16TH 2017. WE RESERVE THE RIGHT TO STOP ACCEPTING NOMINATIONS AT ANY TIME. SO PLEASE GET THEM IN EARLY

Nominee Information

 

Family Information

 

Why are you nominating this Trucking Family?

 

Nominee's Connection To The Trucking Industry

 

Your Contact Information

 

Verification