Fields marked with an * are required in order to submit a request.
Examples for each field can be viewed by positioning your mouse over each field.


Carrier Application
Company Name: *
Company DBA Name: *
MC #: *
DOT #: *
SCAC Code (if applicable):
Dispatch E-mail: *
Dispatch Phone: *
Accounts Receivable E-mail: *
Accounts Receivable Phone:
Hours of Operation: *
24 Hour Point of Contact: *
US Certified Woman Owned Business *
US Certified Minority Busines Enterprise *
Modes Serviced:
(Please select all that apply)
Truckload
LTL
Intermodal
Expedite

Equipment:
(please list number of units)

Flatbeds:
Step Decks:
Double-Drops:
Curtain-Siders:
RGN:
Container Chasis:
Vans:
Reefers:
Others (list):

Preferred Commodities (list):
Services and/or Specialties:
(Please select all that apply)

Cross Border
FAST
CSA
Canada Customs Bonded Carrier
US Customs Bonded Carrier
C-TPAT
PIP
Service to Mexico
Oversized Load
HazMat
Refrigerated
Heated
Frozen
Liquid
Bulk
Spotted Trailer
EDI Capable
Safe Way Carrier
Responsible Way Carrier
Cross Docking
Warehousing
Trailer Interchange
Drayage
Multi-Stops

Operating States
National? *
Zone 0

Maine
New Hampshire
Vermont
Massachusetts
Connecticut
Rhode Island
(select all)
Zone 1

New York
Pennsylvania
Delaware
(select all)
Zone 2

Maryland
Virginia
West Virginia
North Carolina
South Carolina
(select all)
Zone 3

Tennessee
Mississippi
Alabama
Georgia
Florida
(select all)
Zone 4

Michigan
Indiana
Ohio
Kentucky
(select all)
Zone 5

Montana
North Dakota
South Dakota
Minnesota
Wisconsin
Iowa
(select all)
Zone 6

Nebraska
Kansas
Missouri
Illinois
(select all)
Zone 7

Oklahoma
Arkansas
Texas
Louisiana
(select all)
Zone 8

Idaho
Wyoming
Nevada
Utah
Colorado
Arizona
New Mexico
(select all)
Zone 9

Alaska
Washington
Oregon
California
Hawaii
(select all)
Canada

Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
P.E.I.
Ontario
Quebec
Saskatchewan
Yukon
(select all)
Preferred Lanes
Carrier Lane Preference (flat file):


Authorization / Documents


I, , have read the Broker / Carrier Agreement and by submitting this form agree to the terms and conditions outlined or have provided a modified signed document highlighting the changes I have made to said agreement.

I Agree To the Terms As Stated
I Am Providing a Modified Terms and Conditions (below)
I Disagree (and wish to exit this setup process)


ComChecks
BROKER may issue ComChecks to CARRIER and its drivers for the reimbursement of in-transit expenses like lumpers and pallet exchanges when requested by driver. If the agreed upon rate for the load is "all-in", BROKER will deduct such advances from CARRIER payment. If the agreed upon rate allows for reimbursement of such fees, BROKER will add the fees to the linehaul payment upon receipt of suitable supporting documentation (e.g. receipts). Failure to provide suitable supporting documentation will result in BROKER deducting ComCheck advances from the payable linehaul rate. A fee of $4.50 will be applied for each ComCheck issued.
I decline:



Fuel Advances
Would you like your drivers to have the ability to request and receive a fuel advance with at 10% fee? Our fuel advance limits are 40% of linehaul or $1,000, whichever is less.

Please note: Fuel Advances will not be issued until you have completed a minimum of one successful load for Logikor.
Please indicate yes or no.



Broker / Carrier Agreement:
(required only if modifications are desired)
Download Here


Insurance Certificate(s): *

(include reefer breakdown coverage if operating reefer units)
FMCSA Certificate: *
Workers Compensation:
W9 Document: *
(C-TPAT Only) SVI:
(Canadian Only) Level 2 CVOR: