Transcription of CARRIER INFORMATION
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CARRIER INFORMATION
CARRIER INFORMATIONP lease return the following: Company profile/ contact INFORMATION Signed and initialed (each page) contract Insurance certificate with USL listed as holder (USL, Box 14309, Cincinnati, OH 45250) Signed/completed W9 Copy of your certificate of authority Copy of a voided check (for direct deposit only)Send all required documents to: or use our online portal at: Box 14309, Cincinnati, OH 45250 Third Bank 38 Fountain Square Plaza, Cincinnati, OH 45263 | Duns: 82-601-9254 | Fed ID: 26-1768346US Logistics Dispatcher you re working with: _____ CARRIER InformationCOMPANY INFORMATIONC ompany NameStreet AddressCity/State/ZipDOT#MC#Smartway Certified?DISPATCHER INFORMATIONC ontact NameEmailPhoneACCOUNTING INFORMATIONC ontact NameEmailPhonePAYMENT AUTHORIZATIONP lease check box to choose one option below:n QUICK PAY 1 DAY5% deduction by comchek only (see instructions to the right)Our 1 day pay term requires a 24 hour, business day processing time.
CARRIER INFORMATION Please return the following: Company profile/contact information Signed and initialed (each page) contract Insurance certificate with USL listed as holder (USL, P.O. Box 14309, Cincinnati, OH 45250) Signed/completed W9 Copy of your certificate of authority Copy of a voided check (for direct deposit only)
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