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Optimus Prime Dispatch | Carrier Onboarding
Carrier Onboarding Form
Optimus Prime Dispatch LLC
Company Information
Company Name
MC Number
DOT Number
Auto Fetch From FMCSA
Years in Operation
Company Address
City
State
Primary Contact
Contact Person
Phone
Email
Emergency Contact
Equipment Information
Number of Trucks
Number of Drivers
Equipment Type
Dry Van
Reefer
Flatbed
Step Deck
Hotshot
Trailer Length
Insurance Information
Insurance Company
Insurance Phone
Insurance Email
Policy Expiration
Factoring Company
Factoring Company Name
Factoring Phone
Upload Documents
Upload W9
Upload Insurance Certificate
Upload MC Authority
Dispatch Agreement
Optimus Prime Dispatch LLC Dispatch Agreement
Dispatcher agrees to provide freight dispatch services for the carrier listed above.
Carrier agrees to pay a dispatch fee of
8% of the gross load
for each load secured.
Carrier is responsible for drivers, equipment, insurance, cargo safety and all FMCSA compliance.
Carrier agrees not to solicit brokers or customers introduced by Optimus Prime Dispatch LLC for
2 years
after termination.
Either party may terminate this agreement with
30 days written notice
.
Dispatcher is not liable for cargo claims, operational incidents or payment disputes.
Digital Signature
I agree to the dispatch agreement
Submit & Generate Agreement
Clear Signature
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