Carrier Application - UCW Logistics

Carrier Name*

0 of 120 max characters

Name of the carrier's business

DBA # (if applicable)

DBA number for the carrier but not required

Contact Name*

First Last

Phone Number*

Main contact phone number

Email*

Enter Email Confirm Email

Main contact phone number

DOT # or MC #*

0 of 20 max characters

Your DOT# or MC # for business

FID/SS #*

0 of 20 max characters

FID or SS# for business

Is your company a SmartWay Certified Partner?*

Select yes or no if your company is SmartWay certified

Are you currently working with someone at UCW Logistics, if yes who?

0 of 64 max characters

Equipment Type

0 of 120 max characters

Equipment type that your company has

Comments:

0 of 500 max characters

Any additional comments that will help us evaluate a carrier

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.