Storm Worker Registration Form

If you wish to be added to the list of Maverick Storm Workers deployed in the event of a storm or other natural disaster, please fill out the below form with all of your details.

    CDL license?

    Current medical certificate?

    Clean driving record?

    Will you travel for storm work?

    Ability to climb poles?

    Are you able to travel and be on the road for long durations?

    Primary line worker classification:

    Secondary line worker classification:

    Damage assessor worker classification:

    Wire Guard Worker Classification:

    Professional Services:

    Current Safety Certifications: