Cole Krush Logistics
Lease On Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
MC Number
DOT Number
Number of Trucks
OTR
Regional
Local
Equipment Type
Please Select
26 ft Box Truck
24 ft Box Truck
53' Dry Van
Hotshot
Equipment Dimensions (height)
Door Clearance (width)
Interior Height
Interior Width
Max Payload (LBS)
SCAC Code (If appliciable)
Operating Cost Per Mile (If applicable)
Back
Next
Certificate of insurance
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Notice of Assignment
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W9 Form
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Annual Inspection Report
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MC Letter (authority)
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Drivers License (front)
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Drivers License (back)
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DOT Medical Card
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Pictures of the truck that will be operated (please ensure company decals and MC/DOT numbers are clearly displayed in picture)
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Pictures of Box Interior
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Signature
Continue
Continue
Contact Us
Email: colekrushlogistics@gmail.com
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