Carrier Application Form
Carrier Partnership Application
Complete the form below to see if your company qualifies for RM Logistics dispatch and revenue management services. Serious carriers only.
Carrier Partnership Application
First Name
Last Name
Job Title
- Select -
Owner
Fleet Manager
Dispatcher
Operations Manager
Other
Job title
Phone/Mobile
Email
Preferred Contact Method
Preferred Contact Method
Phone Call
Email
Text Message
WhatsApp
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Legal Company Name
DBA Name
Company Website
MC Number
DOT NUMBER
Business Address
Address Line 1
Address Line 2
City
State
Zip Code
Country
Select Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo (Kinshasa)
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo (Brazzaville)
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (Dutch part)
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia/Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom (UK)
United States (US)
United States (US) Minor Outlying Islands
United States (US) Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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Years in Business
- Select -
Less than 6 months
6–12 months
1–2 years
3–5 years
5+ years
Business Type
- Select -
Owner Operator
Single Truck Carrier
Small Fleet
Medium Fleet
Large Fleet
Number of Trucks
0
Equipment Type
Dry Van
Reefer
Flatbed
Step Deck
Power Only
Hotshot
Box Truck
Sprinter Van
Conestoga
Lowboy
Trailer Length
Trailer Length
26 ft
40 ft
48 ft
53 ft
Other
Number of Drivers
Driver Setup
Options:
Solo
Team
Both
ELD Provider
Preferred Operating Regions
Northeast
Southeast
Midwest
South
Southwest
West Coast
Nationwide
Preferred States
States / Areas You Avoid
Preferred Load Types
General Freight
Refrigerated
Dedicated Freight
Partial Loads5
Full Truckload
Drop and Hook
Power Only
Hazmat
Oversized
Maximum Deadhead Accepted
- Select -
50 miles
100 miles
150 miles
200 miles
250+ miles
Weekly Gross Revenue Goal Per Truck
- Select -
Under $5,000
$5,000–$7,000
$7,000–$9,000
$9,000–$12,000
$12,000+
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Is your MC authority active?
Yes
No
Do you have active insurance coverage?
Yes
No
Insurance Coverage Amount
Cargo / Liability Coverage
$100,000 Cargo / $1,000,000 Liability
Above Standard Coverage
Not Sure
Do you currently use a factoring company?
Yes
No
Factoring Company Name
Safety Rating Status
- Select -
Satisfactory
Not Rated
Conditional
Unsure
Are There Any Current Violations or Issues We Should Know About?
What Services Are You Interested In?
Services Needed
Dispatch Only
Revenue Management
Dedicated Lanes
Broker Setup Packets
Rate Negotiation
Back Office Support
Factoring Assistance
Compliance Support
Are you currently working with another dispatcher?
Yes
No
Main Reason for Switching
When Are You Ready to Start?
Desired Start Date
Immediately1
Within 3 days
Within 7 days
Within 14 days
Just exploring options
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Upload MC Authority / Carrier Packet
Choose File
Upload Insurance Certificate
Choose File
Upload W-9
Choose File
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What Best Describes Your Current Situation?
Current Business Stage
New Authority
Actively Running but Need Better Loads
Expanding Fleet
Replacing Current Dispatcher
Looking for Long-Term Dispatch Partner
What Is Your Biggest Challenge Right Now?
Biggest Challenges
Low Rates1
Inconsistent Loads
Deadhead Miles
Broker Communication
Billing / Paperwork
Finding Dedicated Lanes
Managing Growth
Dispatcher Reliability
What Would Success With RM Logistics Look Like for You?
Consent
I confirm that the information provided is accurate and that RM Logistics may contact me by phone, email, or text regarding dispatch and carrier partnership services.
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