Grayline Dispatch LLC – Simple Carrier Pre-Onboarding Intake
Please complete this carrier pre-onboarding intake and upload the required documents. Fields are optional unless marked required on the form.
Carrier Information
Legal Carrier / Company Name
MC Number
*
USDOT Number
*
Primary Contact Name
First Name
Middle Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Required Document Uploads
Certificate of Insurance
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of
W-9
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Operating Authority / MC Authority Documentation
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Photo of Driver / Owner ID
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Picture of Truck
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Picture of Trailer
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of
Truck, Trailer & Equipment
Truck Type / Description
Trailer Type
Trailer Length
Maximum Payload
Equipment / Securement Available
2-inch straps
4-inch straps
Chains
Binders
Tarps
Edge/corner protectors
Ramps
Winch
Dunnage
Other
If Other, please specify
Operating Preferences
Preferred Lanes
Preferred Haul Type
Please Select
Short haul/local
Regional
Long haul/OTR
Both
Maximum Preferred Deadhead
Minimum Desired Rate Per Mile
States / Areas You Do NOT Want to Run
Additional Notes or Restrictions
Pre-Onboarding Confirmation
Pre-Onboarding Confirmation
Insurance Active
W-9 Current
Operating Authority Active
Truck Operational
Trailer Operational
Required Securement Equipment Available
Information Submitted Is Accurate
Ready for Full Onboarding
Submit
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