UIIA (Uniform Intermodal Interchange Agreement) Application Form

Note: SCAC Code is required to apply. Please ensure your SCAC code is active before submitting. A $500 (covers UIIA application preparation and submission — external UIIA dues not included)

Business & Contact Information

Legal Business Name: *

Doing Business As:

USDOT Number

MC/MX Number (if applicable):

Business Address

Primary Contact Name: *

Title / Role:

Email Address *

Phone Number *

SCAC Code & Operations

SCAC Code: *

Application Type: *

New Application
Renewal
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Business Operation Type: *

Motor Carrier
Equipment Provider
Intermodal Operator
Other
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Other (please specify):

Equipment & Operational Details

(Optional fields — include if needed by your internal process)

Number of Interchange Trailers or Containers:

Facility Locations Involved:

States / Regions of Operation:

Supporting Documents

Please upload clear copies of the following:

Driver License/Owner's CDL *

Proof of Insurance (covering intermodal operations)

Proof of USDOT Number

MC Number Certificate or Operating Authority :

Any Signed Interchange Agreements (if available):

Upload Any Relevant Addition Files

Please submit your payment of $500 to begin your UIIA Application and enter your payment details below to complete your request. *

$ 500

*100% secure & safe payments*

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