Breach of Contract

Please use this form to request a breach of contract be filed against an IC for NOW Courier.
Name of Driver*
Driver Number*
Date of Breach*
Date Format: MM slash DD slash YYYY
Breach Level*
- Level 1 - Minor Breach (Service failure OR failure to provide 24 hr unavailability notice)
- Level 2 - Major Breach (Failure to satisfy customer service standards, security or unprofessional behavior)
- Level 3 - Material Breach (Termination of contract-worthy event)
- Unsure
Breach Details*
Estimated Cost of Breach (N/A if no cost)*
Dollar amount charge-back to IC? (N/A if no charge-back)*
Has Operations communicated to the IC about this issue?*
- Yes
- No
- Unknown
Submitted By (Your name is confidential information)*

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