Customer Name *

Customer Id

Address Information

Address *

Address Line 2

Address Line 3

Country *

State/Province *

City *

Zip/Postal *

Billing Address

Same as Mailing Address

Contact Details

Primary Contact

Telephone

Toll Free

Fax

Billing Email

Authority & Status

M.C. #

F.F. #

FMCSA #

URS #

DOT #

WSIB #

This customer is blacklisted

This is a broker

This is a corporation

Status

Active

Inactive

Currency Setting

Payment Terms

Credit Limit ($)

Sales Rep

Factoring Company

Federal ID

Worker's Comp #

Website URL

Show tel. and fax numbers on invoices

Show Detailed Rate on Invoice

Duplicate:

as a Shipper

as a Consignee

Internal Notes

Email address

Send copy to initiating user

Send a copy to the initiating user

Email notifications for

@foreach(['dispatched' => 'Dispatched', 'loading' => 'Loading', 'on_route' => 'On Route', 'unloading' => 'Unloading', 'in_yard' => 'In Yard', 'delivered' => 'Delivered', 'completed' => 'Completed'] as $code => $label)

@endforeach

Email	Notifications For	Options
No notifications added yet.

The following settings only affect newly created quotes.

Show Miles on Quote

Rate Type

FSC Type

$ Amount

% Percent

FSC Rate

Date Added

External Carrier Name *

Username

Password

Address & Contact

Address *

Address Line 2

Address Line 3

Country *

State *

City *

Postal/Zip *

Contact Name

Telephone *

Toll Free

Fax

Business & Status

Payment Terms

Tax ID #

M.C. #

F.F. #

FMCSA #

URS #

D.O.T. #

Factoring Company

This carrier is blacklisted

Carrier is a Corporation

@foreach([ 'liability' => ['title' => 'Liability Insurance', 'same' => false], 'auto' => ['title' => 'Auto Insurance', 'same' => true, 'id' => 'autoSameLiability'], 'cargo' => ['title' => 'Cargo Insurance', 'same' => true, 'id' => 'cargoSameLiability'], ] as $type => $section)

@if($section['same'])

Same as Liability

@endif

Company

Policy #

Exp. Date

Telephone

Contact

{{ $type === 'cargo' ? 'Cargo Ins.' : 'Liability' }} ($)

Rating

Notes

@if($type === 'cargo')

WSIB #

@endif

@endforeach

Primary Contact

Name

Telephone

Secondary Contact

Name

Telephone

Size of Fleet

@foreach(['van_22' => "22' Van", 'reefer_48' => "48' Reefer", 'reefer_53' => "53' Reefer", 'van_53' => "53' Van", 'auto_carrier' => 'Auto Carrier'] as $code => $label) @endforeach

Yes	Quantity	Equipment Type
		{{ $label }}

Carrier Notes

@php $defaultBrokerCountryId = \App\Models\Country::query() ->whereIn('iso2', ['US', 'CA']) ->orderByRaw("CASE WHEN iso2 = 'US' THEN 0 WHEN iso2 = 'CA' THEN 1 ELSE 2 END") ->value('id'); @endphp

Driver Code

Driver Type

Name *

Telephone *

Alt - Tel#

Cell Phone

Pager#

Email Address

Address

Country *

State *

City *

Postal/Zip

Date of Birth

Date of Hire

License No.

License Exp. Date

Last Medical

Next Medical

Last Drug Test

Next Drug Test

Passport Expiry

Fast Card Expiry

Hazmat Expiry

Termination Date

Internal Notes

Status

Pay Type

Currency

Loaded mi.

Empty mi.

Picks Per

Start After

Pick(s)

Drops Per

Start After

Drop(s)

Wait Time (per hour)

Show pay summary on load confirmation

Standard Other Pay & Deductions

@for ($i = 1; $i <= 3; $i++)

Standard Other Pay {{ $i }}

Amount

@endfor @for ($i = 1; $i <= 3; $i++)

Standard Deduction {{ $i }}

Amount

@endfor

@for ($i = 0; $i < 10; $i++) @endfor

Description	Amount

Total:	0.00

@for ($i = 0; $i < 10; $i++) @endfor

Description	Amount

Total:	0.00

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