Dispatcher Carrier Agreement for HandS Trucking Logistics Services
Please provide us with the necessary information that we'll need to business and provide services for your company. If you have any questions, please contact us.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
How did you hear about us?
Please Select
Facebook
Instagram
LinkedIn
YouTube
Text or email
Other
MC #
*
Equipment
*
Van
Flatbed
Stepdeck or RGN
Reefer
Box Truck
Other
Max weight limit
*
Please list your securements (Tarps, Straps, Chains, lift gate, ramps, etc)
*
Insurance Information: Your agent's phone number and email (so we can obtain your COI for your clients/brokers)
*
Tell us about your yourself and your goals: i.e. Where do you see your company in the next 2 years? 5 years?
How often do you want to be home?
*
What areas will you drive?
*
Southeast
Midwest
West Coast
North East
Pacific Northwest
Mountain
Would you be willing to recommend us?
*
Yes
Maybe
No
Please give reference of any two people whom you feel would like our services:
Rows
Full name
Address
Contact number
1
2
Please upload your W9, insurance, authority and Notice of Assignment (of factoring of company if applicable)
*
Browse Files
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of
Driver's name and cell phone number if you will not be driving.
Submit
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