Haul With Us

Full Company Name*

Full Company Address*

Street Address Address Line 2 City State ZIP Code

Contact Name*

First Last

Office Phone*

Cell Phone*

Email*

What type of CDL's do your drivers hold?*

Please select all that apply

Class A
Class B
Class C

What do you use for Electronic Proof of Delivery?*

Please note: Virginia Transportation Corporation is implementing our own delivery app. Once this is available, we will require all sub-haulers to utilize this app.

What type of equipment do you run?*

Please select all that apply to your company, as this will affect insurance requirements.

3-Car
4-Car
5-Car
9-Car
10-Car
Other

If you selected "other" above, please describe.

Equipment Brake System(s)*

Please select all that apply.

Air Brake
Electric
Hydraulic

Equipment Gross Vehicle Weight (GVW):*

Please provide contact information for whomever handles your damage claims:

Damage Contact Name(s)*

Damage Contact Phone*

Damage Contact Email*

Please attach your documents below:

Photo(s) of Equipment Combination*

Drop files here or

Max. file size: 50 MB.

Photo(s) of Empty CAT Scale*

Drop files here or

Max. file size: 50 MB.

W-9*

Max. file size: 50 MB.

MC Certificate*

Max. file size: 50 MB.

Current Insurance Certificate listing Motor Cargo & Commercial Liability Limits*

Max. file size: 50 MB.

Consent*

I agree to the privacy policy.

Thank you for your interest in hauling with us here at Virginia Transportation Corporation.Please fill out this initial application for review.

Please provide contact information for whomever handles your damage claims:

Please attach your documents below:

Thank you for your interest in hauling with us here at Virginia Transportation Corporation.
Please fill out this initial application for review.