Carrier Qualification & Lease Partner Application
Provide company, safety, compliance, equipment, financial, and lease-on details for evaluation before receiving CAU carrier referrals.
Company Information
Legal Company Name
*
DBA / Trade Name
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Mailing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Main Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Website
Primary Contact Name
*
First Name
Middle Name
Last Name
Primary Contact Title
*
Preferred Contact Method
*
Please Select
Phone
Email
Text Message
Other
Years in Business
Company Type / Ownership Structure
Please Select
Sole Proprietorship
Partnership
LLC
Corporation
Cooperative
Independent Contractor
Other
Authority & Compliance
Operating status
*
Active
Inactive
Pending activation
Seasonal
Other
Insurance status
*
Active
Pending
Expired
Cancelled
Not required
Other
DOT number
*
MC number(s)
EIN
Authority type
*
Please Select
Common carrier
Contract carrier
Broker authority
Freight forwarder
Interstate motor carrier
Intrastate only
Other
Authority issue date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current compliance standing
*
Please Select
In good standing
Minor issues under review
Pending corrective action
Noncompliant
Suspended
Other
Safety ratings / CSA information
Confirmations
*
Authority is active and valid
Insurance is current
No unresolved regulatory violations
No pending suspensions or expirations
All required disclosures have been provided
Fleet & Equipment
Number of Power Units Currently
*
Number of Trailers Currently
*
Number of Drivers Currently
*
Equipment Types
*
Dry Van
Reefer
Flatbed
Step Deck
Lowboy
Tanker
Intermodal/Container
Hot Shot
Power Only
Car Hauler
Specialized/Other
Power Unit Model Year Range
*
Please Select
2026
2025
2024
2023
2022
2021
2020 or older
Trailer Model Year Range
Please Select
2026
2025
2024
2023
2022
2021
2020 or older
Trailer Ownership Status
*
Owned
Leased
Mixed
Not Applicable
Equipment Features and Special Requirements
Driver/Carrier Qualification Standards
Which driver qualifications are required before a driver is allowed to operate?
*
Valid commercial driver license
Minimum driving experience
Pre-employment drug screening
Alcohol screening
Background check
Motor vehicle record review
Safety orientation
Road test
Other
What is your minimum required commercial driver license class or endorsement?
*
What is your minimum required driving experience for new drivers?
*
Do you require pre-employment and random drug/alcohol testing?
*
Yes, both pre-employment and random
Yes, pre-employment only
Yes, random only
No
Other
What background and record checks are completed during driver screening?
*
Criminal background check
Motor vehicle record review
Employment verification
Previous carrier reference check
Drug and alcohol clearinghouse check
Identity verification
Other
What safety training topics are included in onboarding?
*
Hours-of-service rules
Defensive driving
Load securement
Accident reporting
Drug and alcohol policy
Electronic logging device use
Hazmat handling
Customer site rules
Other
Describe your onboarding process for new drivers or contractors.
*
If you use owner-operators, subcontractors, or separate driver categories, describe the additional qualification requirements for each category.
Lease-On / Compensation
Compensation model
Please Select
Percentage of gross
Flat rate per load
Mileage-based
Revenue share
Other
Pay method
Please Select
Direct deposit
Check
Settlement statement
Mixed
Other
Percentage rate (%)
Flat rate amount
Flat rate terms
Deduction types and amounts
Settlement frequency
Please Select
Weekly
Biweekly
Semi-monthly
Monthly
Per load
Other
Advances, escrow, or security deposit terms
Other lease-on compensation terms
Freight & Operations
Freight Types Hauled
*
Dry Van
Reefer
Flatbed
Step Deck
Power Only
Box Truck
Tanker
Container
Hot Shot
Other
Lanes / Regions Served
*
Local
Regional
National
Midwest
Northeast
Southeast
Southwest
West Coast
Canada
Cross-Border
Other
Dispatch Availability
*
24/7
Business Hours Only
After Hours Limited
Weekends Only
By Appointment Only
Hours of Operation
Driver Capacity
*
Single-Driver Only
Team Drivers Available
Both Single and Team
Varies by Load
Load Preferences
Dry Freight
Temperature-Controlled
Oversize/Overweight
High-Value Cargo
Hazmat
Short-Haul
Long-Haul
Dedicated Lanes
Backhaul Opportunities
Other
Operational Constraints / Service Limitations
Safety, Reputation & References
Accident history disclosure
*
No reportable accidents in the past 3 years
1–2 reportable accidents
3 or more reportable accidents
Other
Claims history
*
No claims filed in the past 3 years
1–2 claims filed
3 or more claims filed
Other
Cargo claims history
*
No cargo claims in the past 3 years
1 cargo claim
2–3 cargo claims
4 or more cargo claims
Other
Roadside inspection history
*
No roadside inspections in the past 3 years
1–2 inspections
3–5 inspections
6 or more inspections
Other
Out-of-service events
*
No out-of-service events
1 event
2–3 events
4 or more events
Other
Prior terminations or refusals to lease
*
No prior terminations or refusals
Yes, for performance reasons
Yes, for safety reasons
Yes, for compliance reasons
Other
Litigation, disputes, or formal complaints
None
Pending dispute
Past litigation resolved
Active litigation
Other
Reputation-related disclosures
CAU Referral Relationship
Referral capacity per month
*
Preferred onboarding or communication method
*
Email
Phone call
Text message
Carrier portal
Video call
Other
Documents & Attestation
Operating Authority Document
*
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Insurance Certificates
*
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W-9 Form
*
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Voided Check or Banking Details
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Safety Documents and Qualification Packet Attachments
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Attestations
*
The information provided is true, complete, and accurate to the best of my knowledge.
I authorize verification of the information and documents provided.
I agree to the terms and conditions of the qualification application.
Signer Name
*
First Name
Middle Name
Last Name
Title
*
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