DIGITAL CARRIER PACKET
Questions? Call 800.226.4054 (option 5)
Download A Carrier Packet
BASIC INFO
PAYMENT INFO
INSURANCE / EQUIP
UPLOADS
BASIC INFORMATION
DOT:
We could either not match that US DOT number or SaferSys is currently down. Please download a carrier packet by clicking the link at the top right hand portion of this page.
MC:
SCAC:
*
Company Name:
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Safety Rating:
Legal Name:
Intrastate:
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Address:
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City:
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State:
select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Canada
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
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Zip Code:
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Contact Name:
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Phone:
Fax:
Addtl Phone:
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Email:
Addtl Email:
Agent Name:
PAYEE INFORMATION
Company Name:
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Federal ID / SSN:
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Contact Email for Missing Paperwork:
This is the email address we should contact if we have questions on PODS or invoices you submit to us. Put N/A if no email exists.
*
Email For AP Remittances:
Do you factor?
select
No
Yes
US Logistics
has a factoring partner, Treadstone US Capital. Are you interested in learning more about how they can help you?
Is pay to info the same as bill to info?
Yes
No
Quick Pay Option:
select
No Quick Pay, No Discount
1 Day w/ 5.0% Discount
7 Day w/ 2.0% Discount
Do you want to enter ACH information?
select
No
Yes
(US accounts only)
INSURANCE / EQUIP
Cargo Ins Amount:
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Exp Date:
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$100,000 minimum
Auto Liability Ins Amount:
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Exp Date:
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$1,000,000 minimum
Do You Have Trailer Interchange:
select
No
Yes
Do You Have Scheduled Autos:
select
No
Yes
General Liability Ins Amount:
Exp Date:
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Worker's Comp Ins Amount:
Exp Date:
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Reefer Breakdown Insurance:
select
No
Yes
Hazmat Certified:
select
No
Yes
ASSETS
# of Vans:
# of 53s:
# of Flats:
# of Reefers:
# of Teams:
# of Steps:
# of Hot Shots:
# of Curtain Vans:
# of Conestogas:
# of Power Only:
# of Drivers:
NOTE:
The Broker Carrier Agreement must be signed, and your W9, Insurance (sample certificate acceptable) and Authority must all be received for your record to be complete. You will receive a decline if items are missing.
W9, Insurance & Authority are one file
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*
*
*
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Electronic Signature:
*
Date / Time:
12/7/2019 1:14:19 AM
IP Address:
18.207.238.169
I understand that typing my name constitutes a legal signature confirming that I acknowledge and agree to the above and that I am an authorized representative of my company
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