Carrier Intake Form — Clyde Dispatch Group

All fields marked * are required. Your information is used solely for onboarding and dispatch operations. We never sell or share your data.

Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Company Information

Trucking Company Name *

Home Base City & State *

Authority & Compliance

MC Number *

DOT Number *

Equipment Details

Equipment Type *

Number of Trucks *

Driver Name *

Driver Phone *

Lanes & Operating Preferences

Operating States *

Preferred Lanes

Insurance Information

Insurance Carrier *

Insurance Expiration Date *

Cargo Coverage Amount *

Rate Preferences

Minimum Rate Per Mile (All-In) * CDG platform minimum is $2.50/mi. Your floor must be at or above this.

Maximum Deadhead Miles Acceptable *

ELD Information

Do you have an ELD device? *

ELD Provider

Income & Goals

Current Average Weekly Gross (Before Expenses) What you're averaging now. If you're just starting out, put $0 — no judgment.

Target Weekly Gross * What you want to be making. Clyde uses this to prioritize loads that move you toward your goal.

Required Documents

Please upload the following documents. Accepted formats: PDF, JPG, PNG. Max 10MB per file.

Certificate of Insurance (COI) *

Must show auto liability ($750K min), cargo coverage, expiration date, and named insured matching your MC#.

MC Authority Letter *

FMCSA operating authority confirmation letter showing active MC#.

W-9 *

Required for payment processing. Business name must match your MC# registration.

Voided Check or Bank Letter *

Required for direct deposit setup. Must show account and routing number.

Carrier Preferences & Notes

Tell Clyde about yourself — this becomes your permanent dispatch profile This information is stored in your profile and used by Clyde on every dispatch session. You can update it anytime by contacting dispatch@clydedispatch.com.

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