Become a TrashRun Provider

Provider application

Submit your business details for review. This form does not create a provider login.

Identity & contact

Reference design fields used for both provider entry flows.

Your Name

Contact Email

Phone Number

Profile Image URL

Business identity

Entity Type

Business Name

EIN

Citizenship

Verification & compliance

Optional fields from the reference design. Leave blank if not yet available.

Stripe Identity Session ID

Checkr Candidate ID

Background Check Status

Stripe identity verified

Mark only if identity verification is already complete.

Work Authorization Documents

Insurance

Enter either complete liability/auto policy details or leave each policy section blank.

Liability insurance

Auto insurance

Vehicle & service coverage

Vehicle Make

Vehicle Model

Vehicle Year

Vehicle Registration URL

Services Offered

Select every service you want reviewed.

Valet

On-demand dumpster swaps and managed placement service.

Bulk pickup

Single-load hauls for junk, debris, and special cleanout jobs.

Roll-off

Traditional dumpster inventory for scheduled rentals and swaps.

Primary Service City

Primary Service State

Service Center Latitude

Service Center Longitude

Service Radius (miles)

ZIP Codes Served

Permit Documents

Operational configuration

Structured fields from the design that the backend already supports.

Current Onboarding Step

Availability Timezone

Pricing Schedule

Leave blank for anything you do not want to pre-configure.

Base Rate

Per-Unit Rate

Minimum Charge

Emergency Multiplier

Valet Rate

Bulk pickup Rate

Roll-off Rate

Onboarding Metadata

Only prefill this when you are resuming an existing onboarding flow.

Completed Steps

Current Step Key

Started At

Last Updated At

Agreements & notes

Provider agreements

I agree to the provider terms, privacy policy, and independent contractor agreement.

Digital Signature

Signature Date

Additional Information

0/2000

Applications are reviewed by the TrashRun team before any provider account is provisioned.