Pullcision Dispatching Lease-on Program

LEASE-ON APPLICATION

Thank you for your interest in leasing on with Pullcision Dispatching Powered by Valid Transport Services. Please complete the following screening application to be considered. This is a pre-qualification form. If approved, you will be invited to complete the full lease-on agreement and upload your documents.
Driver Information

You may choose to upload your own Motor Vehicle Record (MVR) and/or PSP report below. If you prefer that VALID Transport Services LLLP pulls these reports for you, a fee will apply and be discussed upon review.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Equipment Details
Years of Driving Experience
CDL Type( If Any)*

Class AClass BClass COther
Do You Have Clean MVR?*

YesNoOther
If No, Please explain.
Upload MVR

Cancelof
Upload PSP Report

Cancelof
Are You Currently Leased Onto Another Carrier?

YesNo
Are You Ready To Begin Onboarding Within The Next 7days?

YesNo
Availability

OTRRegionalLocal
Any Other Info You Would Like Us to Consider?
AUTHORIZATION & SUBMISSION

By submitting this application, I confirm the information provided is accurate to the best of my knowledge. I understand this is a screening form and not a contract. If approved, I will be contacted with next steps to complete the Lease-On Agreement.
Should be Empty:

LEASE-ON APPLICATION