Owner-Operator form – Velocity Logistics Dispatch LLC

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- Owner Operator Application
- Carrier Setup

Home
Contact Us
Apply Now
- Owner Operator Application
- Carrier Setup

803 403 5111

Home
Contact Us
Apply Now
- Owner Operator Application
- Carrier Setup

Home
Contact Us
Apply Now
- Owner Operator Application
- Carrier Setup

803 403 5111

Owner-Operator Dispatch Service Application

Velocity Logistics Dispatch, LLC

Driver/Owner Information
Full Name:*
Company Name (if any):*
Phone Number:*
Email Address:*
Preferred Contact Method (Phone / Email / Text):*
Truck & Trailer Details
Truck Type*
- Dry Van
- Reefer
- Flatbed
- Power Only
- Hotshot
- Box Truck
Trailer Type (if applicable):*
Year/Make/Model:*
DOT Number:*
MC Number:*
TWIC Card:*
- Yes
- No
Required Documents Upload

Please provide copies of the following (upload or send to info@velocitylogisticsdispatch.com):
W-9*
Max. file size: 512 MB.
Certificate of Insurance (COI)*
Max. file size: 512 MB.
Copy of CDL*
Max. file size: 512 MB.
Signed Carrier Agreement (we will send after this form)*
Max. file size: 512 MB.
Voided Check or Bank Letter (for direct deposit)*
Max. file size: 512 MB.
Service Preferences
Regions You Prefer to Run:*
Average Weekly Miles Desired:*
Home Time Needed:*
Minimum Rate Per Mile You Accept:*
Are You Currently Working with a Dispatcher?
- Yes
- No
Additional Notes or Special Requirements
Agreement

By submitting this application, I confirm that the information provided is accurate. I understand that Velocity Logistics Dispatch will contact me to discuss onboarding and dispatch services.
Signature:*
Date:*
MM slash DD slash YYYY

803 403 5111
info@velocitylogisticsdispatch.com

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info@velocitylogisticsdispatch.com
803 403 5111

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