THA PICK UP - Carrier Intake Form

1. Driver / Company Information

Company Name *

Driver Name *

Phone *

Email *

MC# / DOT#

Equipment Type *

Truck / Trailer Dimensions & Capacity *

2. Preferred Haul Type

Local / Short haul

Regional

Long haul / OTR

Any

3. Preferred Operating Area

States you WANT to run *

States you do NOT want to run

Specific cities / regions you prefer

How far willing to travel from home

<100 miles

100-250 miles

250+ miles

No limit / OTR

4. Home-Time Preference

Home every night

Home every other night

Home weekends

Out 1–2 weeks

Flexible

5. Load Preferences

Preferred freight

Weight limits

Minimum rate per mile ($) *

Preferred pickup / delivery times

Any loads you WON'T take

6. Availability

Date Available *

Days / Hours Available

Current Location *

Preferred Starting Area

7. WHAT DOES A GOOD WEEK LOOK LIKE FOR YOU? ⭐ MOST IMPORTANT

Miles, Gross, Home-time, etc — Example: 2500 miles, $6000 gross, home weekends, no Northeast...

8. Anything Else

Special requirements, personal preferences, “Anything else you want your dispatcher to know?”

THA PICK UP DISPATCH & LOGISTICS

We Find. We Negotiate. You Haul. • My Dispatching System

I confirm information is accurate and I understand this form is REQUIRED before dispatch search begins.

Driver Signature *

Date *

Secure • Encrypted • Required Onboarding — By submitting, you authorize THA PICK UP to search freight matching these preferences.

CARRIER / DRIVER
PREFERENCE FORM