Fill in the information, additional information will be required to complete the assessment. An email with a checklist will be sent to you.
Company Name
Headquarter Address
Operations Address (if Different from above)
Lead Contact name/title
Contact phone
Email Address
Age of Company (in years)
Operation (Truckload, Mixed, Expedited)
Ownership (Private/Dedicated/For-hire)
Gross Vehicle Weight Class 2B345678
Vehicle Type Day Cab tractorSleeper Cab tractor
Fuel Type DieselCNGLNGHybridElectric
Duty Cycle LocalRegionalLong-haulVocational
Number of Trucks/Tractors in fleet
Average Age (years)
Percent of units equipped with telematics
Trailer Criteria Car carrierCurtain SliderDrop-deckDouble DeckerDry BulkDump TrailerFlatbedHopper BottomBox or VanInloaderIntermodalLive BottomLivestockLow-loaderrefrigeratorSide-bayTank
GVW Class 2B345678
Trailer Type Car carrierCurtain SliderDrop-deckDouble DeckerDry BulkDump TrailerFlatbedHopper BottomBox or VanInloaderIntermodalLive BottomLivestockLow-loaderrefrigeratorSide-bayTankMultiple
Number of trailer units
Percent of trailer units equipped with telematics
multiple devices can be added
Technology
Number of units Technology is installed
Year of Investment
Estimated Fuel Savings
Estimated Annual Savings ($)
Investment ($)
Notes (optional)
Device Type Side SkirtBoat TailUnder FairingTractor-Trailer Gap ReducerAerodynamic Splash GuardCab HeaterCab CoolerCoolant HeaterDiesel/conventional APUElectric APUElectric APU paired with solar panelLow rolling resistant tiresAutomatic tire inflation systemTire pressure monitoring systemDiesel-electric refrigeration unitsElectric refrigeration unitsTelematics device
Number of Devices
Resources consulted (Optional)
Notes (Optional)
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