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Tell us about your company!
Company's Name
*
Name:
*
First Name
Last Name
Phone Number:
*
Format: (000) 000-0000.
E-mail Address:
*
example@example.com
Let us know about your fleet.
Háganos saber sobre su flota
Are you currently operating or have access to a dump truck?
Yes
No
Tell Us more
Do you own a truck?
Yes
No
What type of truck(s)
Daycab
Midroof
Sleeper
How quickly are you looking to get started in the dump truck industry?
Within the next month
Sometime this year
Next year
Not sure yet, just learning
Do you hold a class A license?
Yes
No
Do you plan to drive the truck yourself?
Yes
No
Check if you will need help getting any of the following
Truck Plate
Minority Certifications
Insurance
Identifying the right Truck to buy
Truck Authority
Incorporation
Decals for truck
Please indicate if you have any of the following.
Truck Plate
Daycare
Insurance
Wetkit
Truck Authority
Incorporation
Dump Trailer
Minority Certification
How many Trucks do you have?
How many Trailers do you have?
Where is your yard located?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How were you referred to us?
*
Walk-In
Employee
Newspaper Ad
Facebook
Twitter
Craigslist
Other (please specify)
Indeed
How many trucks will be able to work with us for at least 5 days per week?
Do your trailers have at least 3 sludge locks?
Yes
No
Do you have apportioned plates that allow you to travel outside of state lines?
Yes
No
Which of the following are you interested in Hauling?
Aggregates (rocks) and sand
Dirt
Asphalt
Salt
Sludge (Bio matter)
(I'm not really sure)
Which of the following can you currently haul?
Aggregates (rocks) and sand
Dirt
Asphalt
Salt
Sludge (Bio matter)
None of the Above
Which IDOT districts are you willing/able to haul in?
*
District 1
District 2
District 3
District 4
District 5
District 6
District 7
District 8
District 9
Are you signatory to a union?
Yes
No
Insurance
Seguro
What is the name of your insurance company?
*
Insurance Agent Email (Fill this out if you'd like our insurance requirements sent directly to your agent)
example@example.com
Finalizing
Finalizando
Sign to affirm all information is true and correct.
*
Please verify that you are human
*
Do you have any of the following certifications?
MBE
DBE
WBE
VBE
SBE
FBE
Company Trucks
*
Company Trailers
*
Submit
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