Benchmark Onboarding
Please fill out the form accurately.
File uploads must be JPG. Format only.
1. Personal
First Name
Middle Name
Last Name
Email Address
Mobile Number
Date of Birth
Driving License Number
Driving License Issuing State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Social Security Number
Address
Street
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Country
United States
2. Company
Company
Choose a company
Benchmark Group of Companies, LLC
Victory Marketing Group
US Home Comfort, LLC
Location
Dallas
Berkeley
Sacramento
Designation
Date of Joining
3. Attachments
Social Security Photo
Upload SSN - JPG Only
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Driving License Photo
Upload DL - JPG Only
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