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Dispatch Sheet / Rate ConfirmationLoadgency · broker → carrier · fill it in, then Print / Save as PDF

Load

Carrier (assigned)

Shipper & route

Vehicle

Rate to carrier

Working template — have your transportation attorney finalize the acceptance/liability language before using on live loads. Carrier accepts electronically when they take the load on Loadgency; this printable mirrors that confirmation.
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Loadgency
Transparent auto transport
Dispatch / Rate Con
Broker → carrier confirmation
Broker: Haulgency LLC d/b/a Loadgency · FMCSA property-broker authority in process (launching 2026) · US DOT / MC: __________ · dispatch@loadgency.com
Load / Order #—
Date—
Pickup—
Delivery—
Broker
Haulgency LLC d/b/a Loadgency
Property broker (authority in process)
dispatch@loadgency.com
Carrier (assigned)
—
Pickup — origin
—
Shipper: —
Delivery — destination
—
Vehicle
Year / make / modelVINCondition
———
Carrier pay (COD on delivery)
Paid direct by customer on delivery.
$—
CARRIER ACCEPTANCE. By accepting this load (electronically on the Loadgency platform or by signing below), the assigned motor carrier confirms the pickup, delivery, and rate above, and agrees to the terms of the governing Broker–Carrier Agreement. The carrier: (1) is the entity that will physically transport the vehicle and will not re-broker, co-broker, or double-broker this load to any third party; (2) will capture the digital Bill of Lading and inspection photos at pickup and delivery through the platform; (3) maintains active operating authority and the required auto-liability and cargo insurance; and (4) is liable for loss or damage in transit to the extent provided under the Carmack Amendment (49 U.S.C. § 14706). Payment is made COD directly by the customer to the carrier on delivery unless otherwise agreed in writing; Loadgency/Haulgency does not take possession of the vehicle or the customer's payment. Unauthorized re-brokering is grounds for non-payment and removal.
Acceptance
Carrier — accepted by
Signature / printed name
Date
Broker — Haulgency LLC
Dispatcher
Date
⚖️ Draft template — not legal advice. Have a transportation attorney finalize the acceptance and liability terms before live use.
Loadgency is a service of Haulgency LLC, a property broker (authority in process). Haulgency arranges transportation by authorized, insured motor carriers and is not itself a motor carrier. · Generated with the Loadgency dispatch tool.