Caravan Group of Companies - Carrier Profile (on web)

LEGAL NAME OF COMPANY

TRADE NAME (if different than above)

Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Contact Name

First NameLast Name

Title

Phone

Area CodePhone Number

Fax

Area CodePhone Number

Email

Website

Mailing Address SAME AS Physical Address

Mailing Address (fill out only if different than Physical Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Please check off all applicable certifications: and permits:

Upload PDF copies of your certificates and/or permits here:

Upload a File

If C-TPAT certified, please email your SVI to soniam@caravanlogistics.ca

Do you have documented Security Procedures in place?

Business Partners Requirements

Conveyance/Container Security

Physical Access Controls

Personnel Security

Procedural Security

Physical Security

Security Training & Threat Awareness

Information & Technology Security

ICC / MC #

SCAC ID

USDOT #

CDN CARRIER CODE

SVI

FAST ID

CRA BUSINESS NUMBER

US FEDERAL ID #

PLEASE PROVIDE 3 REFERENCES FROM LOAD BROKERS YOU ARE CURRENTLY WORKING WITH.

1. Contact Name

First NameLast Name

Phone Number

Area CodePhone Number

Fax Number

Area CodePhone Number

E-mail

2. Contact Name

First NameLast Name

Phone Number

Area CodePhone Number

Fax Number

Area CodePhone Number

E-mail

3. Contact Name

First NameLast Name

Phone Number

Area CodePhone Number

Fax Number

Area CodePhone Number

E-mail

How did you hear about Caravan Logistics?

CARRIER PROFILE

CONTACTS

AREAS OF SERVICE

COMPANY INFORMATION

LICENSE & OPERATING AUTHORITY

SECURITY QUESTIONS

IDENTIFICATION NUMBERS

REFERENCES

DRIVER & EQUIPMENT INFORMATION