Carrier Setup – JCTRUCK & LOGISTICS

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join our network!

We are excited to have you as a potential partner in our network of carriers. Joining our network opens up a world of opportunities and benefits, allowing you to streamline your operations and maximize your earning potential.

Download Carrier Form

Carrier Package

FIRST NAME

LAST NAME

COMPANY NAME

DBA (If Any)

ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

Country

PRIMARY PHONE NUMBER

SECONDARY PHONE NUMBER

EMERGENCY CONTACT NAME

EMERGENCY CONTACT PHONE NUMBER

WEBSITE (If Any)

DOT #

MOTOR CARRIER #

SSN/EIN

TWIC CARD

HAZMAT CERTIFICATION (If yes please provide Hazmat Certification PDF and Training Certs)

Choose File

Equipment (All Flatbeds must have their own securement equipment to include tarps!!!)

Van/Reefer

Flatbed

Step Deck

Hot Shot

Box Truck

Other

Choose all that apply

Dolly

Air Ride

Pallet Jack

Straps/Binders

Tarps

Lift Gate

Dock High

PPE Gear

If other, please specify

Truck #

Trailer #

Trailer Length

Trailer Dimensions (Box Truck, VANs & Reefers ONLY L X W X H)

Lanes you like to Travel (will be discussed over the phone as well)

Cost per Mile ( Total Monthly Expenses/Miles per month + Average cost of 1 gallon of Fuel/Miles per Gallon your Truck averages = Cost per Mile) *Worksheet can be Provided

Factoring Company (to ensure we deal only with brokers that are approved by your company)

Factoring Company Agent Name (full name)

Factoring Company Email

Website (For Factoring)

Factoring Company Username

Insurance Company

Insurance Agent Name

Insurance Agent Phone Number

Insurance Agent Email (for Certificate Requests)

Certificate of Insurance

Choose File

Upload Form

Choose File

Authority Letter

Choose File

Completed W9

Choose File

+1 561-446-1789

info@jctruckonline.com

Boynton Beach Fl 33435

MC# 1559898
DOT# 4093438

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