Host Carrier Onboarding Form
Welcome! Please complete the form below to begin your onboarding process. Ensure all information is accurate and upload the required documents.
Section 1: Basic Information
Full Name
*
First Name
Last Name
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
DOT #
*
MC #
Equipment
*
None
Van
Flatbed
Stepdeck
Hot Shot
Reefer
16ft Box Truck
26ft Box Truck
Other
Other Equipment
*
Section 2: Compliance Information
Do you have active authority?
Yes
No
Current Insurance Policy:
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Insurance Information: Your agents Name, PH # and Email
Do you have a Safety Plan or Compliance Policy?
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Section 3: Business Operations
How many trucks are operating under your authority?
Do you have the capacity to onboard new lease-on carriers?
Yes
No
Preferred Lease-On Carrier Requirements...CDL?
Yes
No
Preferred Lease-On Carrier Requirements...Minimum Experience?
Factoring Company Info: Your contact's info, Email and PH #
*
Section 4: Additional Documents
W9
*
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Authority Letter
*
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Signature:
I confirm that the above information is accurate to the best of my knowledge.
Signature
Date
-
Month
-
Day
Year
Date
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Should be Empty: