Please complete all sections. Click the Submit button to continue. "*" indicates required fields UACL Logistics Credit RequestTHIS FORM IS CURRENTLY NOT WORKING Any credit requests should be sent directly to tlcredit@uacl.com | You can click the link below to begin your request. Please include all information you would enter on the below form in your email for fastest processing. Email: tlcredit@uacl.comFor all credit requests please click the link above posted after "Email:". This will auto populate an email for you to send to our team with all the necessary information. Thank you. HiddenAgency Number* HiddenAgent Email* HiddenLine Of Credit Requested* HiddenPlease Select if it is a one time load Load must be under $5,000 and will be expedited HiddenOverall Total or Additional?*-Select-Overall TotalAdditionalHiddenIs This For A Broker*- Select -YesNoHiddenMC #* HiddenCurrent Customer?*- Select -YesNoHiddenCustomer #* HiddenBusiness Name* HiddenType of Business*-Select-UACL ContainerUACL TruckloadHiddenDoes the customer have a direct relationship with SSL?*-Select-YesNoCredit Check Requested ForHiddenBusiness Name* HiddenPhone*HiddenAddress Line 1* HiddenAddress Line 2 HiddenCity* HiddenState/Province* Zip* HiddenA.P. Contact Name* HiddenA.P Contact Phone* HiddenA.P Contact Email* Billing InformationHiddenHow Do You Want to Receive Invoices?*EmailWeb BillHiddenInvoice E-mail Address* HiddenIs Invoicing Address the Same as Business?*YesNoHiddenAddress Line 1* HiddenAddress Line 2 HiddenCity* HiddenState* HiddenZip* Please Provide Additional Web Bill Detail in CommentsHiddenEDI Capable?*- Select -YesNoHiddenEFT Capable?*- Select -YesNoHiddenAuto Pay?*- Select -YesNoHiddenLoad InformationHiddenLoad Revenue* HiddenNumber Of Loads* HiddenPer*- Select -DayWeekMonthHiddenHow does this customer's rates function?*- Select -This customer will have contracted ratesThis customer will provide a rate confirmation with each load Please inform the pricing team at rates@uacl.com of this customer's contracted rates. If you have selected this option, we will follow up the next business day requesting these rates. HiddenCommodity* HiddenMisc. Billing Requirements (Ref #, etc)/Comments
