Carrier Application Form:

National Logistics Management is always interested to hear from quality carriers from across North America. If you are interested in becoming a part of NLM's carrier network, please provide us with the following information.

Note: NLM offers our clients a closed marketplace and new carriers are added on an as-needed basis. NLM has very limited carrier openings, information submitted will be retained by NLM where carrier qualifications will be matched with client needs. If you are selected, NLM will contact you.

* = Mandatory Field

General Information
* Carrier Name: Carrier SCAC
(If applicable):
* Address:    
* City: * State:
* Zip Code:    
* Phone Number: * Fax Number:
* Contact: * Email:
Referred By:    
* ISO Certification: Yes No ISO Standard
(ie. 9001, 9002)
* Internet Connectivity: Yes No    
Is your organization capable of bidding on available shipments on www.nlmi.com ?
Yes No    

Insurance (Indicate Amounts)
* General Liability:
* Auto Liability:
* Cargo:
* Workers Compensation:

Minimum Requirements: General Liability- $1,000,000; Auto Liability-$1,000,000; Cargo-$100,000 (Direct Damage); W/C-Must Have National Logistics Management Inc. must be shown as the Certificate Holder on the actual form.

Coverage
Vehicle Communication (NLM Customers requires two-way communication.):
* Cellular Provider:
* Satellite Provider:
Other:
Authorities:
* Dispatch Coverage (please indicate hours of operation):

* Can you provide 24/7 electronic updates?
Yes No

* Geographic Areas Preferred (please list the regions that you feel you can provide the best coverage):

* Fleet Size (please indicate quantity of each):

Type Company Owned Owner Operator
Cargo Vans:
12 ft. Straight Truck:
18 ft. Straight Truck:
24 ft. Straight Truck:
28 ft. Straight Truck:
Tractor Trailers:
Total Dock High Vehicles:

    


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