Truck Dispatching Carrier Set-Up
A.T.D. provides with Free Set-Up and free advice for consultation on How to Get Started.
MC#/DOT#/INTERSTATE PERMIT
*
EIN
*
COMPANY NAME / DBA /
*
Phone Number #
*
Please enter a valid phone number.
What is your truck number?
*
What is your trailer number?
Last 5 digits of truck VIN#
Carrier Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
INSURANCE COMPANY
*
INSURANCE CONTACT NAME
*
INSURANCE PHONE #
*
Please enter a valid phone number.
NAME OF THE FACTORING COMPANY(ONLY IF YOU USE FACTORING)
Make sure to send NOA for payment
What is the name of your bank? Provide Address: (This is for Quick Pay Payment)
Bank Name
Street Address Line 1
City
State / Province
Postal / Zip Code
Bank Phone #
Please enter a valid phone number.
HOW MANY DRIVERS?
Please Select
1
2
3
4
5
HOW MANY TRUCKS?
Please Select
1
2
3
4
5
Equipment Type
What type of trailer do you have? ex: 53' DV, 53' Reefer or 48'/53' Flatbed, 26' Box Truck, Hotshot,etc
What States do you prefer to Drive to? (Please check all that apply)
Northeast (NY,NJ,CT,MA,etc.)
Midwest (MT,OH,KY,IN,IL,WI,etc.)
Southeast (FL,GA,LA,AL,etc.)
Southwest (TX,NM,etc.)
West (CA,AZ,OR,NV,ID,etc.)
What areas of the country should we Avoid?
Do you have a Standard Carrier Alpha Code (SCAC)?
Would you like to connect your ELD device for automated tracking?
If so please type in your ELD Provider
EDI format capability:
None
204
210
214
990
How did you hear about A.T. Dispatching?
Other Documents Needed
Please upload copies of your W-9, MC AUTHORITY LETTER and CERTIFICATE OF INSURANCE, Add NOA (Notice of Assignment) if applicable. Also provide a copy of Driver's license and Voided check for Quick Pay setup.
MC Authority Letter
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
W-9
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Certificate of Insurance
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
NOA (Notice of Assignment)
Browse Files
Drag and drop files here
Choose a file
If you have Factoring please provide this
Cancel
of
Upload a voided check for Quick Pay Option
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload most recent State/Federal Inspections?
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Any Special Instructions?
Is there anything else you want your dispatcher to know?
Date of Submission / Effective Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: