"*" indicates required fields This field is hidden when viewing the formDate MM slash DD slash YYYY This field is hidden when viewing the formEnter Referral CodeThis field is hidden when viewing the formRoleThis field is hidden when viewing the formUser EmailCompany InformationDOT #*Motor Carrier Name*Main Phone*Fax*TaglineWebsite Social Media Carrier Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country This field is hidden when viewing the formGeocoderDate Founded MM slash DD slash YYYY Carrier Type— Select —PrivateFor-HireDOT Type— Select —InterstateIntrastateBlendedAsset Type— Select —Asset basedNon Asset BasedBlendedBrokerTrucking type— Select —LocalRegionalOTRMixLoad Type— Select —TruckloadLTLMixRun PSPs on drivers— Select —YesNoDo you require a TWIC— Select —YesNoNo, but its helpfulFelony OK?— Select —YesNoDUI OK?— Select —YesNoReckless OK?— Select —YesNoJob hopper OK?— Select —YesNoMinimum Age of Applicant— Select —None18212325Use drug pool as pre-employ— Select —YesNo# Trucks# DriversHow recently must a driver have driven, for insurance purposes?— Select —No Restrictions – We'll hire them regardless90 days6 months12 monthsCase by CaseHow often do you want to rescreen drivers?— Select —Every 6 monthsEvery 12 monthsStandard is 1 year. Best practice is 6 months.Do you conduct road tests on drivers or use their CDL as an equivalent?— Select —We conduct road testsWe use CDLs as equivalentsCase by caseStates where you operate Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other Where else do you operate?Benefits Offered Pet Friendly Rider Friendly Vacation (1 week) Vacation (2 weeks) Vacation (3 weeks) Medical Insurance Dental Insurance Vision Insurance Life Insurance Disability Insurance 401K PTO Unlimited PTO Flexible Work Arrangements Tuition Reimbursement Wellness Programs (gym) Parking/Transit Subsidies Flex Spending Accounts Stock Options/Profit Sharing Childcare Assistance Employee Assistance Programs (EAP) Other What other benefits do you offer?What types of drivers do you use? Truck Drivers Contract Drivers Owner Operators Owner Ops (W2) ***DEFINITIONS*** Truck driver = W2 Driver, no Truck Contract driver = 1099 Driver, no Truck Owner Operator = 1099 Driver + Truck W2 Owner Op = W2 Driver + Truck (Cali)What license classes do drivers utilize? Class A Class B Class C What vehicle types do you utilize? Commercial Pickups Box/Straight Trucks Tractor Trailers LCVs What driver categories do you use? Vacation Drivers Contingency Drivers Linehaul Pickup & Delivery OnDemand Seasonal Drivers Long Haul Drivers Regional Drivers Shag Driver Delivery Drivers Overflow Drivers Team Drivers What trailer types do you use? Belly Dump Car Hauler Conestoga Dry Van End Dump Flatbed Gooseneck Intermodal Low-Boy Passenger Pneumatic Reefer Roll-off School Bus Side Dump Specialized Straight Truck Tanker Vocational Other Contact InformationName* First Last Preferred NameWhat is your title?Email* Enter Email Confirm Email Cell PhoneWork PhonePassword Enter Password Confirm Password This field is hidden when viewing the formYears in businessThis field is hidden when viewing the formPublic Contact Name First Last This field is hidden when viewing the formDOT Number (Scrubbed)Driver InformationAccident ThresholdViolation ThresholdMinimum Years of Experience— Select —01234571015Minimum Miles of Experience— Select —050,000100,000200,000250,000300,000500,000750,0001,000,000What products do you haul? General Freight Household Goods Metal; Sheets, Coils, Rolls Motor Vehicles Drive Away/Towaway Logs, Poles, Beams, Lumber Building Materials Mobile Homes Machinery, Large Objects Fresh Produce Liquids/Gases Intermodal Containers Passengers Oil Field Equipment Livestock Grain, Feed, Hay Coal, Coke Meat Garbage, Refuse, Trash U.S. Mail Chemicals Commodities Dry Bulk Refrigerated Food Beverages Paper Products Utility Farm Supplies Construction Water Well Recyclable Metals Other What other cargo do you carry?Select Must-Have Driver Experience (Deal Breakers)Select experience(s) that you seek in all of your drivers Tractor Trailer Box Truck Boom Truck Bus Car Carrier Dump Truck Fire Truck Fuel Truck Garbage Truck Mixer Plow Truck Service Truck Tank Truck Tow Truck Water Truck Wrecker Yard Dog Pallet Jack Fork Lift (certified) Fork Lift (uncertified) Front Loader Skid Steer Back Hoe Scissor Lift Telehandler Excavator Rain Snow Mountains Desert Flatbed Reefer Tarping Blind Backing Ports Rail yards Other What experience must a driver have?Select Preferred Driver Experience (Value Add)Select experience(s) that would add value to your operation Tractor Trailer Box Truck Boom Truck Bus Car Carrier Dump Truck Fire Truck Fuel Truck Garbage Truck Mixer Plow Truck Service Truck Tank Truck Tow Truck Water Truck Wrecker Yard Dog Pallet Jack Fork Lift (certified) Fork Lift (uncertified) Front Loader Skid Steer Back Hoe Scissor Lift Telehandler Excavator Rain Snow Mountains Desert Flatbed Reefer Tarping Blind Backing Ports Rail yards Other What other experience should the ideal candidate haveSavings CalculatorEnter # Users# Job Ads per Mo# Apps received per Job AdThis field is hidden when viewing the formAd SavingsThis field is hidden when viewing the formStage 0 Savings (100%)This field is hidden when viewing the formDQFsThis field is hidden when viewing the formStage 1 Savings (60%)This field is hidden when viewing the formStage 2 Savings (20%)This field is hidden when viewing the formOffer Stage Savings (1)Monthly Estimate (3 yr Commit)Estimated Monthly Hours SavedEstimated Cost per Hour SavedMeet Your TeamTeam Members Maude = AI Ops Assistant + Hiring Automation = Supercharged DriverOps Mira = Hiring Intelligence + Oversight = Make Better, Faster Decisions Diane = AI Driver Recruiter + Visibility Boost = More Relevant Drivers Maude + Mira + Diane = Turbocharged Hiring Build Your Team* Free DOT Application DOT App + Maude DOT App + Maude + Mira DOT App + Maude + Diane DOT App + Maude + Mira + Diane As Low AsPer User Per MonthAs Low AsPer User Per MonthAs Low AsPer User Per MonthAs Low AsPer User Per MonthSpecial EmailsWe strongly recommend using two unique, unused emails for correspondence and DQFsEnter Catch-All Email Enter Email Confirm Email This email will be copied on all Maude correspondence Enter DQF Email Enter Email Confirm Email This email will receive DQF docs This field is hidden when viewing the formAdmininstrativeAdministrative IntegrationThis field is hidden when viewing the formRenewal Days (6 mo)This field is hidden when viewing the formRenewal Days (12 mo)This field is hidden when viewing the formRenewal DaysThis field is hidden when viewing the formInsurance 90This field is hidden when viewing the formInsurance 180This field is hidden when viewing the formInsurance 360This field is hidden when viewing the formInsurance Days
