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Siboney Trucker Portal

Driver and Vehicle Registration

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Step 1 of 6 Form Completion: 0%
Account Information
Format: 12345 or 12345-6789
Please enter a valid phone number
Please enter a valid email address
Registration & Tax Information
Type of business categorization
Company name used for tax filing purposes
0/40
Unique tax identification number (SSN or EIN)
Vehicle Details
Please select a truck make
Model year of manufacture
Please enter a valid 4-digit year
Type of underlying construction for the truck frame
Ownership status of the truck
Truck is operated by the owner
Type of material the truck bed is constructed of
Type of construction used for the dump trailer
Unique Vehicle Identification Number (17 characters)
VIN must be exactly 17 alphanumeric characters (excluding I, O, Q)
Unique license plate number
Date on which the Vehicle Registration expires
Truck Features & Capabilities
Truck is ready to haul asphalt
Truck is ready to haul concrete
Truck has a swing gate
Driver Details
Driver license number
Driver license is required
Date on which the motor carrier's driver license expires
State or jurisdiction that issued the driver's license
Commercial Driver License class
Ethnic background of the trucker
Designated sex of the truck driver
Insurance Information
Insurance carrier providing coverage to the motor carrier
Name of the insurance agent or broker handling this policy
Name of the primary insured entity on the policy
Unique identifier assigned to the insurance policy
Total dollar amount of insurance coverage
Maximum amount covered for cargo loss or damage
Date on which the Certificate of Insurance expires
Expiration date of the umbrella liability coverage
Indicates whether workers' compensation insurance is active
Date on which workers' compensation coverage expires
Estimated yearly insurance premium in dollars
Date on which cargo insurance coverage expires
Bank Account Details
Name of the bank used by this truck
Unique account number for the bank account
Type of bank account used by this truck
Routing number used to access the bank account (up to 10 digits)
Routing number must be exactly 9 digits
Choose how payments to this carrier should be issued
Registration & Tax Information
Unique number assigned by the Department of Transportation
Total fuel cards requested for this account
Certifications & Compliance
Certified as a disadvantage business Enterprise
Name exactly as it appears on the DBE certification
Trucker is certified with the EPA
Apportioned Tag Includes all States
Indicates whether the vehicle has a plate valid across multiple states
Motor carrier is authorized to carry hazardous materials