Supply Request

Please complete all sections. All fields are required unless specified as optional.

AGENT INFORMATION
Agent Name
 
Agent Number
 
Email Address (Optional)


FORMS / DOCUMENTS
QtyNumberItem Description 
 Log BooksEA
 Rate Confirmation LabelsEA
 Trip Pack EnvelopesEA
2.10Trip ReportEA
5.38Freight BillEA
9.21Accident ReportEA
9.35Safety EnvelopeEA
16.05Canadian Manifest (Cargo Document)EA
17.09Annual Vehicle InspectionEA
17.10UACL Quarterly Maintenance ReportEA
17.11Agent ActivityEA
17.20Agent Commission InquiryEA
17.21Rate Publication RequestEA
17.22UACL Supply Order FormEA
17.27Fax Cover SheetEA
17.28UACL Broker Credit RequestEA
17.29UACL Customer Credit RequestEA
17.38Detention RequestEA
17.43UACL Authority - 167922 ICCEA
17.44UACL Authority - 167922 SUB 1 ICCEA
17.51UACL Authority - QuebecEA
17.52UACL Authority - OntarioEA
17.53UACL Authority - AlbertaEA
17.54UACL Authority - SaskatchewanEA
17.55UACL Authority - ManitobaEA
17.56UACL Authority - New BrunswickEA
17.59UACL CalendarEA
17.60UACL Lined Pad (Commission deduction of 3.25 p/pad)EA
17.61UACL From the Desk Of (Commission deduction of 1.65 p/pad)EA
17.63UACL Scratch Pads (Commission deduction of .85 p/pad)EA
17.73Settlement Request FormEA
17.74UACL Billing SheetEA
 UACL Log Book (Pre-purchased By UACL)EA
24.05Billing of LadingEA
26.09, 26.10, 26.11Medical FormsEA
 New Agent PackageEA
 Driver BrochureEA