Prequalification Form
Company Information
Company Name
Address
City/State/Zip
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Company Phone
Transportation Buyer
Name
Title
Phone
Email
Transportation Needs/Specifications
1. Approximately how much does the company spend on transportation (all modes), both inbound and outbound annually?
2. What are the company’s primary modes of transportation, and what percent of their annual transportation spend is used for each mode?
LTL
TL
Parcel (Courier services - less than 70lbs.
International
Other
Air
Intermodal
Private Fleet
3. Does the company currently outsource any transportation functions to a 3rd Party Logistics Company?
Yes - name of 3PL(s):
No, but uses an Association
No, does everything in-house
If Yes, what functions does the 3PL(s) perform? (check all that apply)
Carrier Procurement
Scheduling of Shipments
Freight Audit and Payment
Other:
4. Where are the carriers chosen and rates negotiated if not done by a 3PL?
Carrier Procurement
Scheduling of Shipments
5. How do the company’s daily shipments get scheduled if not by a 3PL?
In-House Software
Phone/Fax/Email
6. Approximately what is the number of daily LTL shipments per day?
Inbound Shipments:
< 5
5
10
15
20
25
> 25
Outbound Shipments:
< 5
5
10
15
20
25
> 25
7. Who are the primary LTL carriers? (Capture %)
1.
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
2.
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
3.
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
4.
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
5.
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
6.
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
8. Approximately how many Truckload shipments does the company receive per day?
Inbound Shipments:
< 5
5
10
15
20
25
> 25
Outbound Shipments:
< 5
5
10
15
20
25
> 25
9. How many shipping locations does the company have (such as Manufacturing & distribution centers for the company)?
10. Is the Transportation Department aligned with any other departments? (Please list below)
11. Additional comments: