Core Trucker Profile Intake

Core Trucker Profile Intake

Complete this profile once so it can be used across multiple trucking-related services and requests.
Full legal name*

First NameLast Name
Business / carrier name (if applicable)
Primary email address*
example@example.com
Mobile phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Business / mailing address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred contact method

EmailPhone callText message (SMS)Any of the above
Are you completing this profile as an individual driver or on behalf of a business?*

Individual driverBusiness owner / authorized representative
Type of tax identification used for this trucking work*

Personal tax identificationBusiness tax identificationNot sure / will provide later
Internal tax ID reference (do not enter full government-issued numbers here)
Driver classification*

Company driver (W-2 equivalent)Owner-operator with own authorityOwner-operator leased to a carrierIndependent contractorFleet owner / multi-truck carrierOther (please specify)
Business structure*

Sole proprietorSingle-member LLCMulti-member LLCPartnershipCorporation (C‑Corp)Corporation (S‑Corp)Non‑profit organizationNot formally registered / other
USDOT number (if applicable)
MC number (if applicable)
States where you are currently authorized or willing to operate*

All 48 contiguous U.S. statesAlabama (AL)Alaska (AK)Arizona (AZ)Arkansas (AR)California (CA)Colorado (CO)Connecticut (CT)Delaware (DE)Florida (FL)Georgia (GA)Hawaii (HI)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky (KY)Louisiana (LA)Maine (ME)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)Missouri (MO)Montana (MT)Nebraska (NE)Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Ohio (OH)Oklahoma (OK)Oregon (OR)Pennsylvania (PA)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virginia (VA)Washington (WA)West Virginia (WV)Wisconsin (WI)Wyoming (WY)Other / Non‑U.S. regions (specify below)
Additional notes about your operation (equipment type, lanes, preferences, etc.)
Should be Empty: