Owner Operator Application
Congratulations on your decision to lease on with us! You are just moments from becoming a part of our team of Owner Operators! We take great pride in making sure we provide the best working environment possible. Without teamwork, none of this would be possible. Our commitment to excellence in everything we do drives our vision, while hard work and dedication steer the wheel. It is an honor to include you in our network!
Full Legal Name
*
First Name
Last Name
Email Address
*
Are you at least 23 years old?
*
Yes
No
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you lived at the address above for LESS than 3 years?
*
Yes, I have lived at the address above for less than 3 years
No, I have lived at the address above longer than 3 years
If you answered YES to the questions above, please provide your previous address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
License Number
*
License State
*
Please Select
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Company Name
Do you need help looking for a driver?
*
Yes
No
Do you have a CDL?
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Yes
No
How long have you held a CDL?
*
Do you have your own authority?
*
Yes
No
What type of equipment do you have?
*
Tractor
Reefer
Dryvan
Flatbed
Other
Please estimate the value of each piece of equipment you selected above in U.S. Dollars.
*
Please list the cities, states, or regions you service.
*
Do you have any service restrictions regarding locations?
*
Yes
No
If you selected 'Yes' for the question above, please describe the restrictions.
If you selected 'No', please type N/A.
Have you had any moving violations in the past 3 years?
*
Yes
No
Please note your preferred lanes.
*
What states are you willing to run?
*
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
How many days are you willing to be on the road?
*
Do you have a clearing house?
*
Yes
No
If you answered 'Yes' to the question above, what company do you use?
Input the name of your clearing house company
Do you have an ELD?
*
Yes
No
If you answered 'Yes' to the question above, is the ELD issued by Motive? If not, what type of ELD do you have?
Are you the driver?
*
Yes
No
Please upload your CDL.
*
Browse Files
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Choose a file
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of
Please upload your physical damage insurance.
*
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of
Please upload your Bobtail insurance.
*
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of
Please upload your MVR.
*
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Choose a file
Cancel
of
Please upload your cab card.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How did you hear about us?
*
Please Select
Social media (with options for Facebook, Instagram, Twitter, YouTube, etc.)
Search engine (like Google or Bing)
Email newsletter
Online ads (specifying platforms like Google Ads, Facebook Ads, etc.)
Blogs or articles
Word of mouth
In-person events or trade shows
Print media (such as magazines, newspapers)
TV or radio advertisements
Direct mail
Which photo would you like us to use for your flyer design?
*
Green truck
Blue truck fleet
Truck fleet 1
White truck
Orange truck
Blue/orange/red fleet
Purple truck
I hereby certify that, to the best of my knowledge, the providedinformation in this document is true and accurate.
*
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