ONLINE APPLICATION

You can fill out the form below to contact our recruiter, get Insurance or MC Authority quotes, or to apply for Tractor Leasing Program.

PRIMARY CONTACT INFORMATION

How did you hear about us? Please specify:

INSURANCE QUOTE
DRIVER INFORMATION:
Name: DOB: Years of experience: CDL#: State:
Click to add additional drivers »
TRACTOR INFORMATION:
Make/model: Year: Value: VIN:
Click to add additional tractors »
Lienholder:

 

Minimum Driver Underwriting Guidelines For Insurance

A.No serious or disqualifying traffic violations within the last three years as follows:

  1. Excessive speeding, involving any single offense for any speed of 15 m.p.h. or more above the posted speed limit.
  2. Reckless driving, as defined by state or local law or regulation, including but not limited to the offense of driving a motor vehicle in willful or wanton disregard for the safety of persons or property.
  3. Improper or erratic lane changes.
  4. Following the vehicle ahead too closely.
  5. Driving while intoxicated or under the influence of drugs.
  6. Hit and run, leaving the scene of an accident, or failure to report an accident.

B. No more than four (4) moving violations in the past 36 months, and no more than two (2) moving violations in the previous 12 months.

C. No preventable accidents involving a fatality, bodily injuries treated away from the scene, or disabling damage to a motor vehicle within three years. (Disabling damage means damage that precludes departure of any motor vehicle from the scene of an accident in its usual manner in daylight after simple repairs. This includes damaged vehicles that are drivable, but would incur further damage, if so driven.

D. A minimum of two (2) years experience in the operation of tractor/trailer equipment. E. Must be 23 years old. (Drivers 25 years old and older are encouraged.)

Do you/your drivers meet these guidelines?

GET A MC AUTHORITY QUOTE
Requested company structure: SSN:
Services needed: (uncheck what you don't need)
Business Registration (State Registration & IRS) EIN:
Unified Carrier Registration
IRP Account - International Registration Plan - Truck Registration IRP Account #:
IFTA Account - International Fuel Tax Agreement IFTA Account #:
KYU Permit
NY HUT Permit
NM WDT Permit
APPLY FOR TRACTOR LEASING PROGRAM
PREVIOUS MAILING ADDRESS:

Current employer: Start date:
Previous employer: Start date: End date:
Years of trucking experience: Number of trucks:
Current status: Please specify:
What truck brand are you most interested in?
I have at least 6 month experience in the past 12 months
« by clicking this button, you give authorization for the release of credit information to Profit Leasing, LLC or its designee (and any affiliates, assignees or potential assignees thereof, collectively) from any source including credit bureau reporting agencies and aplicants bank. I hereby represent that all of the inofrmation contained in this credit application is true, correct and complete.
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