subject_line
TCA Elite Fleet Carrier Enrollment Form
Carrier Company Information
Company Name:
*
Company Home Office Address:
*
City:
*
State:
*
Zip Code:
*
Please provide carrier DOT number.
*
How many company locations/terminals do you have (excluding drop yards)?
*
What percentage of your driver workforce is each of the following?
*
%
Independent Contractors
%
Company Drivers
%
How many company power units do you have?
*
What percentage of your business is the following operating modes?
*
%
Dry Van
%
Temperature Controlled
%
Flatbed/Specialized
%
Tanker/Bulk
%
What percentage of your business is the following freight types?
*
%
Over The Road (OTR)
%
Dedicated
%
Other
%
Contact Information
Company contact to be liaison for the Elite Fleet program
Company Contact First Name
*
Company Contact Last Name
*
Company Contact Phone Number
*
Company Contact Email:
*
CEO/President contact information needed to validate application at later date.
Company CEO/President First Name:
*
Company CEO/President Last Name:
*
Company CEO/President Email
*
Powered by