Blue Border Dispatching - Carrier Onboarding
Please complete this form in full. All required documents must be uploaded before dispatch services begin
Company Name
*
MC Number
*
DOT Number
*
Business Address
*
City/ State/ ZIP
*
Phone Number
*
Email Address
*
Owner/Driver Info
Owner Name
*
Driver Name
*
Drive Phone
*
Driver Email
*
CDL TYPE
Please Select
Class A
Class B
Class C
Other
Equipment Section
Equipment Type
*
Please Select
Cargo Van
Sprinter Van
22-26 Ft Box Truck
Reefer Box Truck
Hotshot
Power Only
48-53 Ft Dry Van
Flatbed
Other
Equipment Details
Length
*
Weight Capacity
*
Dock Height?
*
Please Select
Yes
No
Lift Gate?
*
Please Select
Yes
No
Pallet Jack?
*
Please Select
Yes
No
Straps/Load Bars?
*
Please Select
Yes
No
Operational Preferences
Preferred Lanes/Areas
*
Max Deadhead (Miles)
*
Preferred Rate Per Miles
*
Availability (Days/Hours)
*
Current Location (City & State)
*
Factoring Company
Factoring Company (If Any)
*
Do you use factoring?
*
Please Select
Yes
No
Load Board Access
Do you currently have access to Load Boards?
*
Please Select
DAT
TRUCKSTOP
OTHER
NO
Will dispatcher be added to your account?
*
Please Select
Yes
No
Required Documents To Upload
Upload copies of your W-9, Certificate of Insurance, Operating Authority (MC), Drivers License, Equipment Photos, Notice of Assignment ( NOA if factoring)
W-9
*
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of
Certificate of Insurance
*
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of
Operating Authority (MC)
*
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of
Drivers License
*
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of
Equipment Photos
*
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of
Notice Of Assignment (NOA if factoring)
*
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Drag and drop files here
Choose a file
Cancel
of
Agreement Section
By submitting this form, I authorize Blue Border Dispatching to act as my dispatch service provider. I agree to pay the agreed dispatch fee percentage per completed load. I confirm all documents submitted are valid and accurate.
I understand and agree that Blue Border Dispatching will provide dispatch services at a rate of 8%–10% per completed load, depending on equipment type and agreement terms.I agree to pay the agreed percentage on all loads dispatched and completed through Blue Border Dispatching.I understand payment is due upon completion of each load or as otherwise agreed.
*
I Agree to the Terms Above
Authorized Signature
*
Date
-
Month
-
Day
Year
Date
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