786-360-6456
T
RUCKING
ISPATCH
D
S
ERVICE
PH 786-360-6456
Independent Dispatch Service for your fleet
** PLEASE READ AND COMPLETE  AUTHORIZATION FOR DISPATCH FORM  CLICK HERE.
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by checking I Agree box you declare the information supplied in this Application and all forms and documents submitted to Trucking Dispatch Service, LLC in connection herewith are true and correct to the best of your knowledge and belief.

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TDS Dispatch Application

TDS Dispatch Application

  • Exact Legal Name of Company*
  • Trade Name / DBA
  • DOT Number*
  • MC Number*
  • Physical Address*
  • Billing Address
  • Phone Number*
  • Fax Number*
  • FEIN*
  • TDS Package (Select one)*
  • Number of Trucks you own*
  • Type of Trailer (Select all that apply)
  • Other
  • Trailer Size
  • Areas of Operations (Select all that apply)
  • Minimum Rate per Mile
  • Maximum Number of Pick Ups per Load
  • Maximum Number of Drop Offs per Load
  • Driver Touch
  • Do you require fuel advance?
  • Do you authorize giving fuel advances to the driver?*
  • Max % agree to pay for fuel advance
    %
  • Do you use a Factoring Company*
  • Factoring Company Address
  • Percentage Charged by Factoring Company
  • Do you require Quick Pay From Brokers*
  • Max percentange for Quick Pay Fee
    %
  • Full Name*
  • Email Address
  • Agree to Terms and Conditions.*
  • Please send the following documents

    W-9 / CERTIFICATE OF INSURANCE / CERTIFICATE OF AUTHORITY (MC)

  • Fax: (305)456-4093 or email at: support@truckingdispatchservice.com

  • Security Code*

     

  •