Carrier Name
*
Driver Full Name
*
First Name
Last Name
Load Number
*
Pickup Location
*
Pickup Date
*
-
Month
-
Day
Year
Date
Pickup Time
*
Hour Minutes
AM
PM
AM/PM Option
IN ORDER TO AVOID ANY ISSUES FOLLOWING THE RUN, PRIOR TO HOOKING TO TRAILER DRIVER MUST COMPLETE FOLLOWING 4 STEP PRE-TRIP CHECK:
*
1. Take initial picture of all 4 sides of the trailer
2. Scan trailer for any obvious/noticeable damages on exterior. This includes the top and sides of trailer, wheels, wheel wells, etc.
3. Take close-up photos of any particular concerns and damages
4.Take picture of seal
FAILURE TO COMPLETE THESE 4 STEPS WILL RESULT IN CARRIER BEING HELD RESPONSIBLE FOR ANY DAMAGES TO TRAILER.
Is there damage yes or no?
*
Yes
No
If yes, describe the damage
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: