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Carrier Intake Form

Welcome to JackRick Consulting! We’re excited to partner with you and help keep your trucks moving. This form collects important details about your company, equipment, and operational preferences so we can dispatch freight that fits your business. Please complete all sections carefully. It should take about 10–15 minutes. Make sure to upload all required documents before submitting. Once submitted, our team will review your information, verify your credentials, and contact you to finalize your Dispatch Carrier Agreement. You’ll then be ready to start working with JackRick Consulting. What You’ll Need: Company info (MC, DOT, EIN, contact info) Truck and trailer details Insurance and authority documents (W-9, COI, MC Letter) Factoring info, if applicable Important Notes: Dispatch rate: 10% per load (box trucks), 10% per load (semi trucks) Payments invoiced every Friday 30-day notice is required to terminate By completing this form, you acknowledge the JackRick Consulting Dispatch Carrier Agreement Questions? Email jackrick.logistics@gmail.com or call/text (757)744-2484