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This form is for third-party carriers interested in transporting freight that the TSMT Logistics Department has available.
* DENOTES REQUIRED FIELD
*Carrier Name:
*MC #:
*Address 1:
Address 2:
*City:
*State:
*ZIP:
*Phone:
*FAX:
*Email Address:
We will use your email address to send you information about loads that we
have available. You can notify us at any time if you no longer wish to receive
these emails. We will NEVER sell or distribute your email address.
Contact 1 Name:
Phone:
Contact 2 Name:
Phone:
*Federal Tax ID #:
SCAC:
*DOD Approved?
YES
NO
Cargo Insurance Amount:
Cargo Insurance Expires:
Liability Insurance Amount:
Liability Insurance Expires:
*Certified for Hazmat?
YES
NO
If Yes, give Hazmat Certificate Number:
Certificate Issue Date:
Certificate Expiration Date:
*Qualified for Overdimensional Freight?
YES
NO
*Is Satellite Communication Available?
YES
NO
*Power Only capability for loads?
YES
NO
*Do you have team drivers available?
YES
NO
*Will you haul LTL shipments?
YES
NO
*Can you transport in the United States?
YES
NO
*Can you transport in Canada?
YES
NO
*Can you transport in Mexico?
YES
NO
Number of Trucks:
*Please Check the following
Trailer Types you have:
48' VAN
53' VAN
Curtain Side
Flatbed
StepDeck
DoubleDrop
RGN
Stretch
None
Please check all of the states in which you prefer to operate:
Region
9
Region
8
Region
7
Region
6
Region
5
Region
4
Region
3
Region
2
Region
1
Region
0
CA
OR
WA
AK
AZ
CO
ID
NV
NM
UT
WY
AR
LA
OK
TX
IL
KS
MO
NE
IA
MN
MT
ND
SD
WI
IN
KY
MI
OH
AL
FL
GA
MS
TN
MD
NC
SC
VA
WV
DE
NY
PA
CT
ME
MA
NH
NJ
RI
VT
Please check all of the Canadian provinces in which you prefer to operate:
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT