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Owner Operator (single vehicle) Registration

Home / Registration / Owner Operator (single vehicle) Information

Owner Operator & Vehicle Information

Terms & Conditions

Documents

Owner Operator Info

Owner Operator Photo

png, jpg, jpeg (file size: 10 MB)

Name

Address

Address 2

City

State

Zip Code

Cell Phone

Can you get a text? Yes No

Provider

Verizon AT&T Other

Driver License Number

Driver License Expires

Date Of Birth

Email Address

SOC. SEC #

EIN #

Have you ever been convicted of a felony? Yes No

Do you have a current DOT Health Card? Yes No

Current CDL? Yes No

Health Card Photo

png, jpg, jpeg (file size: 10 MB)

When does it expire?

Do you have factoring company? Yes No

TSA Yes No

Marital Status

Married Single Divorced Widowed

Vehicle Info

Vehicle Type (Cargo Van, Sprinter, Straight Truck, etc)

Payload in LBS (How many pounds can you carry?)

Vehicle Weight (Empty)

Box Dimensions (In Inches)

Can Fit (Pallets)

Vehicle Images

Change

png, jpg, jpeg (file size: 10 MB)

Door Type

Swing Roll Roll Up

Door Opening Dimensions (In Inches)

VIN Number

License Plate Number

License State

License Plate Expiration

Truck Plate Number

Trailer Plate Number

Vehicle Make

Vehicle Model

Vehicle Year

Color

Does the vehicle have liftgate?

Yes No

Does the vehicle have equipments? Yes No

Equipment List

Does your truck have an ICC bumper?

Yes No

Select Suspension

Applicant Signature

Clear

By signing this form electronically,and clicking on "Submit Signature", you are agreeing to the terms stated herein.

DISCLAIMER: VLG FreightTrack software is designed for monitoring your Fleet employees and/or 3rd party carriers on a Smart device. I.E. (Smartphone or tablet) that you own or have proper consent to monitor. You must notify the owner of the smart device of your intent to monitor their movements. By using our software you are agreeing to the terms and conditions along with the Privacy Policy. You can read both the Terms & Conditions and Privacy Policy. Failure to do so may result in the breaking of federal and state laws. If you install software onto a device of which you do not own or have proper consent, we will cooperate with law officials to the fullest extent possible.

Owner Operator (single vehicle) Registration

Owner Operator Info

Vehicle Info

Applicant Signature

Applicant Signature

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