Company Legal Name*

Operating Name (if applicable)

Mailing Address*

City*

Country*

Province*

Postal code*

State*

ZIP code*

Remit to address same as Mailing Address

Remit to Address same as Mailing Address

Remit to Address*

Remit to City*

Remit to Country*

Remit to Province*

Remit to Postal code*

Remit to State*

Remit to ZIP code*

Certificate of Insurance

Certificate of Insurance*

Accepted file types: pdf, jpg, jpeg, gif, png, Max. file size: 100 MB.

The following name and address must be listed as a certificate holder on the insurance certificate:

David Oppenheimer Transport Inc. and David Oppenheimer & Associates General Partnership
101 – 11 Burbidge Street, Coquitlam B.C. Canada V3K 7B2

W-9 Form

W-9 Form*

Accepted file types: pdf, jpg, jpeg, gif, png, Max. file size: 100 MB.

Certificate of Insurance

Certificate of Insurance*

Accepted file types: pdf, jpg, jpeg, gif, png, Max. file size: 100 MB.

The following name and address must be listed as a certificate holder on the insurance certificate:

David Oppenheimer Transport Inc. and David Oppenheimer & Associates General Partnership
101 – 11 Burbidge Street, Coquitlam B.C. Canada V3K 7B2

Workers Compensation Coverage

Workers Compensation Coverage*

Accepted file types: pdf, jpg, jpeg, gif, png, Max. file size: 100 MB.

W-8BEN Form

W-8BEN Form*

Accepted file types: pdf, jpg, jpeg, gif, png, Max. file size: 100 MB.

Telephone*

Email Address*

MC Number*

Oppy Transport Contact*

Signing Authority*

Daily Contact(s)*

Contact Email*

Contact Phone*

After Hours Contact

Contact Email

Contact Phone

Payment Terms*

Please fill out our EFT Enrollment Form.

Carriers, please read instructions below in full for EFT setup. Oppy Transport offers 48 hour quick pay at 2.25%. Or standard 30 day electronic payment at no charge.

Please complete the attached form and return to [email protected]

Please note the EFT form should be signed by either Accounting Manager, Controller, Director of Finance, CFO, or Owner.

An Oppy Accounting representative will be contacting you within 1-3 business days to confirm the information on the form.
Once the information is confirmed, Oppy will send a test deposit of $.01 (1 cent) into your bank account.
When you receive this test deposit, please notify Oppy Transport ASAP.
After the test deposit is confirmed, Oppy will activate your account for EFT and you will be able to select EFT payment when submitting invoices through our website.
If 48hr quick pay is desired, the Invoice and POD MUST be uploaded to the website where you can chose 48hr quick pay as the payment method.

Are you currently under contract with a factoring company?

Are you currently under contract with a factoring company?*

Yes
No

Notice of Assignment

Notice of Assignment*

Accepted file types: pdf, jpg, jpeg, gif, png, Max. file size: 100 MB.

If the Notice of Assignment from the factoring company is not uploaded, the new carrier form will not be accepted.

Notice of Assignment MUST include signatures from both Carrier AND Factoring Company.

Are you SmartWay Certified?

Are you SmartWay Certified?*

Yes
No

References

Please provide at least 2 references. References must be customers (shippers or freight brokers).

Reference 1

Reference 1: Company Name*

Reference 1: Contact Name*

Reference 1: Phone*

Reference 2

Reference 2: Company Name*

Reference 2: Contact Name*

Reference 2: Phone*

Reference 3

Reference 3: Company Name

Reference 3: Contact Name

Reference 3: Phone

Please tell us any additional information that you think is relevant. (Info about you, your company, lanes you run, trucks you own, etc.)

After your company information is submitted, a representative from our carrier approval team will contact you to facilitate the on-boarding process. These documents listed under 'Get Set Up' will be required.

Form submission may take a few seconds, please do not refresh the page or click submit multiple times.

Consent*

I consent to the submission, storage, and access of this form data

By consenting you agree to having this data stored and accessible by site administrators of oppytransport.com. Data removal can be requested by emailing [email protected].

CAPTCHA

New carrier sign up form

New Carrier

Certificate of Insurance

W-9 Form

Certificate of Insurance

Workers Compensation Coverage

W-8BEN Form

Please fill out our EFT Enrollment Form.

Are you currently under contract with a factoring company?

Notice of Assignment

Are you SmartWay Certified?

References

Reference 1

Reference 2

Reference 3