ELITE Hotshot Carrier Onboarding – Infinity Dispatch Services

Hotshot Carrier Onboarding – Infinity Dispatch Services

Please provide the essential information below to get started. This form is brief; we'll confirm dispatch service fee terms in writing before any dispatches.
Carrier & Authority Information
Legal Company Name
MC Number
DOT Number
Authority Active Date

MonthDayYear
Date
Owner / Contact Name

First NameMiddle NameLast Name
DBA / Trade Name
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
CDL Status
Medical Card Status
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cargo Insurance Limit (USD)
Auto Liability Limit (USD)
Broker blacklist / refused brokers
Current Location

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Truck / Tractor Details
Tractor Year
Tractor Make
Tractor Model
Tractor VIN
Tractor Plate Number
Do you use factoring?
Factoring company name
Upload Notice of Assignment (NOA)

You can also send photos via WhatsApp or text after submitting.
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Upload W-9

You can also send photos via WhatsApp or text after submitting.
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Upload Certificate of Insurance (COI)

You can also send photos via WhatsApp or text after submitting.
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COI Expiration Date

MonthDayYear
Date
Trailer Type
Trailer Year
Tarping Accepted?
Trailer Make
Trailer Model
Trailer VIN
Trailer Plate Number
Trailer Number
Trailer Length (ft)
Maximum Payload (lbs)
GVWR (lbs)
GCWR (lbs)
Available Equipment

Other
Tarp Sizes Available

Other
Overhang Accepted
Vehicles Accepted

Other
Machinery Accepted

Other
Partials Accepted
Tarp Fee Required
Special Capabilities and Route Restrictions

Other
Maximum Deadhead (miles)
Minimum RPM or Minimum Load Rate
Preferred Lanes
No-Go States
Preferred Pickup Appointment Times
Preferred Delivery Appointment Times
Commodity Preferences

Other
Commodity Refusals

Other
Additional Operational Preferences
Canada Loads Accepted
Signature
Date

MonthDayYear
Date
Should be Empty:

Hotshot Carrier Onboarding – Infinity Dispatch Services

Carrier & Authority Information

Truck / Tractor Details