@extends('layouts.master') @section('content') @section('style') @endsection()

Carrier Add

@csrf

Company Name ID# @error('CompanyName')

{{ $message }}

@enderror

MC # @error('MC_NUM')

{{ $message }}

@enderror

DOT # @error('DOT_NUM')

{{ $message }}

@enderror

Language @error('dLANGUAGE')

{{ $message }}

@enderror

Truck Yard @error('TRUCK_YARD')

{{ $message }}

@enderror

Assigned Coordinator @error('COORDINATOR')

{{ $message }}

@enderror

Phone @error('Phone')

{{ $message }}

@enderror

Fax @error('Fax')

{{ $message }}

@enderror

After Hours Phone @error('contact1')

{{ $message }}

@enderror

Email @error('cemail')

{{ $message }}

@enderror

Carrier Type
Internal Outside @error('cemail')

{{ $message }}

@enderror

Active

Comments @error('GEN_COMMENTS')

{{ $message }}

@enderror

First Name @error('First_Name')

{{ $message }}

@enderror

Last Name @error('Last_Name')

{{ $message }}

@enderror

Middle Name

Payment Type

SSN

Address

City

State

ZIP

Country

Routing Number

Account Number

Preferred Payment Method

External Pay ID

Payment Terms

Bank Name

Factor Name

Factoring Address

City

State

ZIP

Country

Primary Card Number

EFS Contact Name

EFS Phone Number

Paid As

Factoring Address

City

State

ZIP

Insurance Agency

Phone

Fax

Email

Insurance Company

Policy Number

Limits

Deductible

Insurance Company Email

Cargo

Policy Number

Limits

Deductible

Insurance Exp Date

Carrier Liability

General Liability

Policy Number

Limits

Deductible

Insurance Exp Date

Insured

Automobile Liability

Policy Number

Limits

Deductible

Insurance Exp Date

Reefer Breakdown

Policy Number

Limits

Deductible

Insurance Exp Date

Workers Comp

Policy Number

Limits

Deductible

Insurance Exp Date

Comments

Additional Insured

Certificate Holder

Holder

Yes

No

Cancel

@endsection() @section('script') @endsection