Carrier Qualification Requirements

If you are interested in becoming a carrier for RGT Logistics or simply want to learn more about our services, please complete the form below.

* - Denotes Required Field
Carrier Name: *
Carrier Address: *
Carrier City: *
Carrier State: *
Carrier Zip Code: *
Customer Service Contact:
Phone Number: *
Fax:
E-mail: *

Liability Insurance Limit:
Liability Provider:
Policy Expiration Date:
Cargo Insurance Limit:
Cargo Provider:
Policy Expiration Date:

SCAC Code:
USDOT Number:
MC\MX Number:
DOT Safety Rating:
Last Safety Review:
Number of Dry Trailers:
Number of Reefer Trailers:
Number of Tractors:

Click here for the printable PDF version of this form.

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