Lease-On 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 #
Why do you want to lease on under a host carrier's authority?
Section 2: Vehicle Information
Do you own or lease a truck?
Own
Lease
Equipment
*
None
Van
Flatbed
Stepdeck
Hot Shot
Reefer
Power Only
26ft Box Truck
Other
Other Equipment
*
Truck Make and Model
*
Truck Year
*
Truck VIN Number
*
Upload Vehicle Registration:
*
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Section 3: Compliance Information
Do you have a valid CDL?
Yes
No
Do you have current insurance coverage?
*
Yes
No
Upload Insurance Certificate:
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Have you been involved in any accidents or violations in the past 12 months?
*
Yes
No
If yes, please explain:
Section 4: Additional Documents
W9
*
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Driver's License
*
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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
Save
Continue
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Should be Empty: