Field Technician Registration

Complete all required fields to be added to our dispatch roster.

Personal Information

First Name*

Last Name*

Business / LLC Name

Street Address*

Address Line 2

City*

State*

Zip Code*

Phone Number*

Alternate Phone

Email Address*

Skills & Compensation

Primary Skills*

What types of work do you specialize in?

Tools Owned*

List all tools and equipment you own

Travel Distance*

Desired Hourly Rate (USD)*

e.g. 35.00

Preferred Payout Method*

Payout Handle*

Email or phone number for your payout method

Documents & Certifications

Accepted: PDF, JPG, PNG, HEIC. Download blank W-9 ↗

📄

Click or drag W-9 files here

PDF, JPG, or PNG · 1–2 files · Required

Required

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Click or drag Driver's License / ID here

Front and back · 2 files max · Required

Required

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Click or drag Certificate of Insurance (COI)

PDF, JPG, or PNG · Up to 3 files · Optional

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Click or drag Licenses & Certifications

PDF, JPG, or PNG · Up to 10 files · Optional

Agreements

Field Technician Agreement*

Non-Solicitation, Confidentiality & NDA, Professional Conduct, and Independent Contractor acknowledgment

Payment Terms*

Net-30 payment schedule, rate confirmation, and invoice requirements

Communication & Contact Consent*

Consent to receive SMS, calls, and emails regarding work orders and dispatch

Electronic Signature

By typing your full legal name below and submitting this form, you confirm that you have read, understand, and agree to all terms above. Your typed name constitutes your electronic signature under the E-SIGN Act (15 U.S.C. §7001 et seq.).

Type Your Full Legal Name*

Must match the name on your W-9

TechVantage Solutions LLC · Orlando, FL · dispatch@techvantagesolutions.net