Information Request Form

Drive with Pinnacle: Carrier Enrollment Form
Section 1: Basic Information
Name
Email Address
Phone Number

Area CodePhone Number
Company Name (If Applicable):
DOT/MC Number:
City & State of Operation
When are you looking to start?
Section 2: Equipment Information
What type of equipment do you own? Select all that apply:

Other
Year, Make & Model of Truck(s)
Maximum Load Weight Capacity
Trailer Type & Length: (e.g., 53 ft Dry Van, 26 ft Box Truck, etc.)
Section 3: Operational Preferences
What regions/states do you prefer to run in?
Any areas you do not want to run in?
When are you looking to start?
Are you willing to do in state loads?
Do you want to be consulted before we book a load, or can we book automatically based on your preferences?
How many days a week are you available for loads?
Average rate per mile?
Section 4: Load Preferences
Preferred load type:
Preferred freight type:

Other
Are you open to overnight or long-haul loads?
Average weekly load goal
Section 5: Business Information
Do you have insurance? If yes, what kind? Please upload!
If yes, please upload

Cancelof
Do you have factoring set up? If yes, with which company?
Authorized for:
Do you have:
Run Type:
Section 6: Communication & Payments
Preferred contact method:
Do you want daily check-in calls/texts about load opportunities?
Response time for load offers:
Preferred payment method
Any special requests or notes about your operations?
Load type preference:
Should be Empty:

Drive with Pinnacle: Carrier Enrollment Form