New Truck Haul Application If you are a human and are seeing this field, please leave it blank. Company Name Owner's Name Billing Address Business Phone Cell Phone Fax Number Email Dispatcher's Name Dispatcher's Phone Number Quantity of Tandem Trucks 0 1 2 3 4 5+ Tandem Truck Haul Types AsphaltStoneDirtRiprapConcreteWet Batch Quantity of Semi-Tractors 0 1 2 3 4 5+ Semi-Tractor Trailer Types FlowSteel TubDump List quantity of truck types, trailer types, and what they can haul. (Haul Examples: Asphalt, Stone, Dirt, RipRap, Concrete, Wet Batch) Owner/Operator? If using hired drivers, please list their names. In addition to this submitted form please fax insurance certificates to Brandt Construction Co. at 309-787-6344 ATTN: Truck Application.