Request to Add User

GUZMAN TRANSPORTATION LLC

DOT Number: 3161316
Docket Number: MC111405

Almost done! Now we need your info.

First Name

Last Name

Title

Cell Phone Number

User Name

Password

Confirm password

I understand that my provided data is used in the same manner as a faxed or emailed Carrier Packet would be. I give MyCarrierPortal permission to distribute the data I provide on MyCarrierPortal.com to ONLY companies that I have e-agreements with on MyCarrierPortal.com (the inviters), the inviters' compliance monitoring company, and the inviters' Transportation Management Software (TMS) System.

I understand that my email address will be used only to receive confirmation of completed online packets, receipts, online packet invitations, insurance certificate related concerns, compliance concerns, and general information regarding my MyCarrierPortal.com account. My email address is only provided to the companies that I have completed an online carrier packet for via MyCarrierPortal and/or their compliance monitoring company.

I have read and understand the MyCarrierPortal E-SIGN & UETA Disclosure & Consent Agreement. Click here to view the consent & disclosure agreement.

I certify under penalty of perjury under the laws of the United States of America that I am authorized to sign contract agreements and W-9 forms on behalf of GUZMAN TRANSPORTATION LLC 3161316.