Driver Self Dispatch Form

Trailer Type: *

SELF DISPATCH

REPORTING FORM

Delivery Location *

Pick Up Location *

Operators Name: *

RATE $$$ *

Notes:

Truck #: *

Pick Up Date and time *

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Commodity & Weight *

Delivery Date and time *

SELF DISPATCH EMAIL (please send rate sheets to this email) dispatch@emwayinc.com

Department Direct Extension 500

Please remember you can be under 1 load (must be loaded) and book 1 load in advance.

Please complete all areas of the form below, and the Selfie Department will be notified. Once a Coordinator receives the rate sheet from the Customer/Broker, the Coordinator will email you a copy of the rate sheet and send your final dispatch email.

*** All Coordinator's are required to call the Operator once we have sent your email, to notify you that your dispatch is completed.

Self Dispatch Department Team Members

Whitney, Department Manager, ext 501

Sherry, Coordinator, ext 507

Joel, Coordinator, ext 503

Broker / Shipper Company Name: *

Enter text

Broker / Shipper Phone #:

Broker / Shipper MC #: *

EM Way Inc

98% Paid to Owner Operators