File ( completed in full) Signed Contract Copy of ICC Authority Completed W-9 Form DOT Safety Rating. If you are currently not rated or you have a conditional rating attached safety certification form must be filled out in full. Current Proof of Insurance with minimum of $100,000 cargo and $1,000,000 auto liability. Signed acknowledgment that all equipment is compliant with ARB’s TRU ATCM in-use performance standards for the state of California. ( only required for carrier’s refrigerated car.

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How to fill out the WA SCR Carrier Remittance & Data Sheet online

This guide provides clear instructions on how to complete the WA SCR Carrier Remittance & Data Sheet online. By following these step-by-step guidelines, users can efficiently fill out the necessary information to ensure their submission is accurate and complete.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to access the document and open it in your preferred editing tool.
  2. Enter your full legal company name and MC number in the designated fields.
  3. Provide your company's address, city, state, and zip code accurately.
  4. Fill in your company web address and SCAC code, if available.
  5. Complete the primary contact information by entering the email address of your primary contact.
  6. If your remit to company name differs from your legal company name, fill out that section as well as the remittance mailing address.
  7. Complete the receivables contact information including the contact's email, phone, and fax number.
  8. Fill out the dispatch contact details and include an emergency phone number and contact.
  9. Circle the states in which your company operates in the operations information section.
  10. List any backhaul or flat lanes that your company can assist with as requested.
  11. Indicate whether your services include Haz Mat or Team operations and provide details on equipment type and quantity.
  12. Review the billing procedures to ensure you understand what documents must be included with invoices.
  13. After completing all necessary sections, save changes, and prepare to download, print, or share the form as needed.

Complete the WA SCR Carrier Remittance & Data Sheet online and ensure your documentation is submitted promptly.

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