DSTRILOGIX manages 5 data types including driver carrier assignments. Helps you organize, track, and share your work in 1 place for teams and solo users.

Carrier / Trucking Company Application

Professional onboarding application for motor carriers and trucking companies to verify authority, insurance, and operational capacity.

Full Name*

Phone Number*

Email Address*

Company Profile

Legal Company Name*

DBA

Authorized Contact Name*

Title

Email*

Phone*

Physical Address*

City*

State*

ZIP*

EIN - Restricted*

USDOT Number*

MC Number*

SCAC

Authority and Compliance

Authority Status*

Authority Effective Date*

MCS-150 / Biennial Update Date*

UCR Expiration

IRP Expiration

IFTA Expiration

Operating scope*

Select all that apply

W-9*

Operating Authority*

Certificate of Insurance*

UCR / IRP / IFTA records as applicable

Insurance

Coverage Type*

Carrier / Policy*

Limit*

Effective*

Expiration*

Fleet and Operations

Number of Power Units*

Number of Trailers*

Number of Drivers*

Equipment*

Select all that apply

Primary Lanes / Service Area*

Primary Commodities*

Safety rating / CSA concerns / recent out-of-service events - explain

Certification

Authorized Representative*

Signature*

By typing your name, you are electronically signing this document.

Date*