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Carriers Onboarding Form

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Full Name

Company Name

Phone

By checking this box you agree to receive transactional messages regarding account notifications/updates, from Highway Prime LLC at the phone number provided. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

By checking this box you agree to receive marketing and promotional messages from Highway Prime LLC at the phone number provided. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

Truck Type

MC Number

DOT Number

EIN

Business address

Years in Business

Number of Trucks

Load Preferences (Optional)

Preferred Lanes / States

Regions to Avoid (Optional)

Driver Name

Experience (Years)

Are you working with a factoring company? (Yes / No)

Yes No

Factoring Company Name

Factoring Contact Info

Preferred RPM (Rate Per Mile)

Minimum Load Rate

Working Days / Hours Preference

MC Authority Letter

W9 Form

Certificate of Insurance (COI)

Commercial Driving License (CDL)

Voided Check

NOA (Notice of Assignment) (if using factoring)

Who was your Sale Rep? (Leave Empty if none)

I confirm that all documents provided are accurate and up to date.

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Carriers Onboarding Form

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