Carrier Application

Carrier Name*

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 #*

Your DOT# or MC # for business
FID/SS #*

FID or SS# for business
Is your company a SmartWay Certified Partner?*
- Yes
- No
Select yes or no if your company is SmartWay certified
Are you currently working with someone at UCW Logistics, if yes who?
Equipment Type

Equipment type that your company has
Comments:
Any additional comments that will help us evaluate a carrier
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Comments
This field is for validation purposes and should be left unchanged.