This field is hidden when viewing the formRoleYour Name First Last Work Email Cell PhoneCreate a UsernamePreferred NameSet a Password Enter Password Confirm Password Company Name(Required)DOT Number(Required)MC #EIN(Required)Location Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Will you be the master account holder for your company?— Select —YesNoName of master account user?SCAC codeWhat troubles you? We have loads sitting We have empty seats We want to optimize our driver operations Other (check all that apply)How can we help?Consent I have read and agree to be bound by the SlipSeat Terms of Service & Privacy Policy.How did you hear about us?What type of operation(s) do you have?— Select —InterstateIntrastateBothDo you operate in or around ports or rail yards?— Select —Yes – PortsYes – RailYes – Ports & RailNoWhat type of driver(s) do you use?— Select —Truck Drivers (Driver Only)Owner Operators (Driver + Truck)Both Truck Drivers and Owner OpsIndependents (Driver + Truck + Authority)Exclude capacity of drivers with felonies?— Select —NoYes – operation prohibits usePlease describe your policy for drivers with feloniesWhat type of trucking do you typically do?— Select —LocalRegionalOTRDo you operate in or around California?— Select —YesNoPlease describe your CA operations?# of California based truck drivers# of CA owner operators# of CA independentsAny special requirements for driver vendors?No special requirementsVendors must be S Corps, C Corps, or LLCsVendors must be employees of S Corps, C Corps, or LLCsOtherOther requirements for vendorsCommentsThis field is for validation purposes and should be left unchanged.
