Dispatcher AgreementTrucking Company Name *Trucking Information *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweEmail Address *Phone *TERMS AND CONDITIONS: Carrier hereby grants authorization to TBE Dispatching Services LLC to act as its agent for the sole purpose of searching for and booking loads at a Percentage Rate Agreement of 6% Pay Per Load, processing all brokerage paperwork and obtaining/submitting all necessary documents required in order to expedite loads and dispatch via telephone, fax or e-mail. All billing, invoicing and collections of revenue from customers, brokers, shippers, consignees, etc. - are the sole responsibility of the carrier. If revenue for a shipment or shipments is uncollectible, TBE Dispatching Services LLC will be held harmless and no penalty or deduction of fees will be made. The carrier agrees to maintain all proper licenses and permits to conduct business as a motor carrier in the area of intended operation. Additionally, carrier agrees to maintain general liability and cargo insurance at the amounts set forth by the home state of the carrier. TBE Dispatching Services LLC will be held harmless in the event of any and all claims. As loads are picked up, delivered, and carrier is paid FIRST, an amount equal to the above stated percentage will be payable to: TBE Dispatching Services LLC. Payments to the dispatcher, once carrier is paid, are to be conveniently paid with any Debit or Credit Card. Carrier will be invoiced once they are paid from Broker or factoring company. Either party has the right to end this agreement without cause at any time with seven (7) days’ notice by written request.CONSENT *I consent to having the 𝐂𝐀𝐑𝐑𝐈𝐄𝐑 𝐏𝐀𝐂𝐊𝐄𝐓𝐒 and 𝐑𝐀𝐓𝐄 𝐂𝐎𝐍𝐅𝐈𝐑𝐌𝐀𝐓𝐈𝐎𝐍𝐒 completed by 𝐓𝐁𝐄 𝐃𝐈𝐒𝐏𝐀𝐓𝐂𝐇𝐈𝐍𝐆 𝐒𝐄𝐑𝐕𝐈𝐂𝐄𝐒 𝐋𝐋𝐂 on my behalf.You are authorizing TBE Dispatching Services LLC to complete all broker Carrier Packets and Rate confirmations on your behalf.UPLOAD DOCUMENTS NEEDED *Drag and Drop (or) Choose FilesPlease upload copies of your W9, MC AUHORITY LETTER, CERTIFICATE OF INSURANCE, and NOTICE OF ASSIGNMENTSignatureStart signing your signature hereYour browser does not support e-Signature field.Send Message PDF VERSION