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Agent Profile
Please provide as much information as possible.
Company Name
Filled out by (your name)
Email
Start date of business
Capabilities
STA certified Drivers - please send list
Yes
No
STA Driver list
Drop a file here or click to upload
Choose File
Maximum upload size: 50.33MB
Do you currently do any lab specimen work?
*
Yes
No
We have in the past or are trained
What experience do you have in doing Lab work?
Hours of Service
Basic Mon - Fri 8am to 5pm
Office hours but available 24/7 if needed
24/ 7
Warehousing available?
Yes
No
Staffed receiving area? (for common carrier LTL / UPS shipments)
Yes
Yes w/ dock
Yes w/ no dock but have fork lift
No - must call ahead to receive (we're not always at office)
How do you handle your dispatching?
Fixed office staff
To driver's cell
Staff during regular hours, then cell or other means
Do your drivers have data in car (i.e. cell phone with data connection)
Yes
No
Can you receive Emails in the field (i.e. via cell phone)
Yes
No
Can your drivers directly send and receive texts to get and confirm orders in the field?
Yes
Yes but we'd rather you go THROUGH the office
No
Fleet
Staffing
Employees
Independent Contractors
A Mix of Employee and IC
Total number of staff available
Cars
Vans
Straight Trucks
Please select the services you perform
Small Package Routed
Small Package On Demand
TSA / NFO
Dock delivery scheduled
Cartage
Home Delivery - freight
2 man delivery
Lift Gate
White Glove
Assembly
Counties / Cities Served
Please select how often you serve cities in the counties below. We realize that not all cities in all counties are served just because you go there on a regular basis. This merely gives us a broad idea of your regular range.
List all locations REGULARLY served (not hot shot / dedicated runs please)
Or Upload a ZIP LIST
Drop a file here or click to upload
Choose File
Maximum upload size: 50.33MB
Airports Served
Select all that apply
Please list Airport codes for any Airports regularly served
If you are human, leave this field blank.
Submit
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