Consortium

     Enrollment


To enroll in an LWD, D.O.T. Approved Consortium, please follow the instructions below.

 
     
 
 
If you are an Owner Operator:

 
If you are an Employer:

1.
2.
3.
4.
5.
Fill out online form and submit
Complete Owner/Operator Agreement
Complete Release of Information
Complete payment sheet
Fax to (626) 813-1088.
  1.
2.
3.
4.
5.
Fill out online form and submit
Complete Employer Agreement
Complete Random Driver list
Complete payment sheet
Fax to (626) 813-1088.
 
 
 
Online Form
   
 
Company Name:
Contact:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Consortium type you wish to join:
Owner Operator Independent Employer Employer Don't know
# of Drivers:
(Enter 1 if Owner Operator)
Special Instructions:

Upon clicking the Enroll Now button AND faxing the appropriate forms above, an LWD representative will contact you the same day or the following business day to confirm your enrollment and to obtain payment.

Once payment is received, an official Certificate of Enrollment and a Consortium Member Packet will be mailed to you. A Certificate of Enrollment may be faxed to you upon request.