Carrier Onboarding Form

Carrier Onboarding Form
Company Info:
Company Legal Name:
MC #:
DOT #:
SCAC:
Enter your SCAC if you have one, leave blank if you do not.
Company Primary Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Company Fax:
Please enter a valid phone number.Format: (000) 000-0000.
Company Email:
example@example.com
Do you use factoring?
If you answer "YES" to factoring please provide Remit to Name:
If you answer "YES" to factoring please provide NOA:

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Remit to Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EIN
W9

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Liability Insurance Provider:
Liability Insurance Policy Number:
Liability Coverage Amount:
Liability Insurance Start Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Liability Insurance End Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Cargo Insurance Provider:
Cargo Insurance Policy Number:
Cargo Coverage Amount:
Cargo Coverage Start Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Cargo Coverage End Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Certificate of Insurance (COI):

Upload COI for info and instruct Agent to email dispatch@bestpropertysolutions.net a COI listing us as Cert Holder: BEST Property Solutions Inc, 4416 S Co Rd 325 E, Logansport, IN 46947
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Equipment Avail:

Accounting Setup for ACH Payments
I (we) First Name* Last Name* hereby authorize BEST Propety Solutions Inc herinafter called COMPANY, to initiate credit and to initiate, if necessary, debit entries and adjustments for any credit entries in error to my (our) checking account indicated below, hereinafter called DEPOSITORY, to credit and/or debit the same to such account.
Depository Name:
Named Account Holder (i.e. Company Name) should be entered here.
Routing Number:
Account Number:
Voided Check

Please upload a voided check or letter from financial institution that confirms the routing and account number submitted.
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Signature

Company Contacts
Dispatcher:

First NameLast Name
Dispatcher Email:
example@example.com
Dispatcher Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Accounting:

First NameLast Name
Accounting Email:
example@example.com
Accounting Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Safety/Compliance:

First NameLast Name
Safety/Compliance Email:
example@example.com
Safety/Compliance Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Company Info: