Carriers Carrier Application "*" indicates required fields Carrier InformationCountry*CanadaUnited States of AmericaUnited KingdomCheck this box if you're not a Carrier I am a freight broker Legal Name*Company DBA NameYear of incorporation*Enter a 4-digit yearAddress* Street Address City State / Province / Region ZIP / Postal Code Name* First Last Email* Phone*Use the same contact information for Remit to DetailsNoYesUse the same contact information for QuotesNoYesUse the same contact information for TendersNoYesUse the same contact information for FinanceNoYesUse the same contact information for Customer ServiceNoYesRemit to Contact & DetailsRemit to Address* Street Address City State / Province / Region ZIP / Postal Code Contact Name*Email* Phone*Contact Information for QuotesQuote to Address* Street Address City State / Province / Region ZIP / Postal Code Contact Name*Email* Phone*Contact Information for TendersTender to Address* Street Address City State / Province / Region ZIP / Postal Code Contact Name*Email* Phone*Contact Information for Customer ServiceEmail* Phone*Contact Information for FinanceEmail* Phone*Additional InformationDUNS Number*SCAC*MC#*DOT#*Do you own assets under this USDOT/SCAC Code?*YesNoHow many power units you have under this USDOT/SCAC combo?*How many trailers you have under this USDOT/SCAC combo?*Add extra info/context about your assets hereName of your Elog Provider*HAZMAT Compliance/Dangerous goods*YesNoYour Core Operating Mode*Full truckloadLess than truckloadFlatbedDryageExpediteAirOceanFreight ForwarderIntermodalOther Modes Serviced Full truckload Less than truckload Flatbed Dryage Expedite Air Ocean Freight Forwarder Intermodal Reefer CTPAT Regions where you are most actively seeking freightE.g. Midwest, Southeast, Atlantic Canada etc. How did you find us?*Unsolicited – Through internet/search engineSolicited – Someone from Logikor reached out to youName of the person who reached out to you*Document Uploads and AgreementStandard License (National/International/Registered)*Max. file size: 4 MB.Employer’s Liability Insurance*Max. file size: 4 MB.OCRS Scorecard (Operator Compliance Risk Score)*Max. file size: 4 MB.Insurance Certificate*Max. file size: 2 MB.Operating Authority (CVOR Level 2, FMCSA Certificate)*Max. file size: 2 MB.Workers Compensation*Max. file size: 2 MB.Overview of the Carrier(Strengths/Coverage areas etc.)Max. file size: 2 MB.Carrier Vetting ProcessMax. file size: 4 MB.Carrier Vetting Process*Max. file size: 4 MB.CAPTCHAClick the button below to continue the process and read/sign the Broker Carrier agreementEmail This field is hidden when viewing the formBypass ConditionYesNoPhoneThis field is for validation purposes and should be left unchanged. Δ