Lease Application | High Road Capital LLC

I understand this is a commercial equipment lease. How I earn is between me and my carrier; High Road Capital leases and maintains the truck. I understand any option to purchase is available only to qualifying drivers at the end of the term, on the terms set in the written lease agreement.

Which program are you applying for?

Owner-Operator Lease (fixed weekly payment)

50/50 Revenue Share

Not sure yet — help me decide

First name

Last name

Phone

Alternative Phone

Email

Address

Birthday

Month

Day

Year

Emergency Contact Name and Phone

I confirm I currently hold a valid Class A CDL.

CDL Number

CDL State of Issue

CDL Class and Endorsements

CDL Expiration Date

Month

Day

Year

DOT Medical Certificate Expiration Date

Month

Day

Year

CDL State of Issue

Any CDL suspensions, revocations, or disqualifications in the past 5 years?

Yes

No

Any positive drug or alcohol test results in the past 5 years?

Yes

No

Any DOT out-of-service orders in the past 3 years?

Yes

No

Do you currently have an approved carrier in place?

Yes

No

If Yes: Current Carrier Name, Carrier MC / DOT Number, Carrier Contact Person, Phone, How long under this carrier?

Any active or pending bankruptcies, or any filed in the past 7 years?

Yes

No

Preferred lease term in months

I confirm I am comfortable operating a tractor-trailer in mountainous terrain.

I confirm I am willing and able to stay out on the road a minimum of 2 nights per week when required.

I understand this is a commercial truck lease and I am responsible for keeping my lease in good standing.

I understand I will operate as an independent business owner under my own or an approved carrier's authority, not as an employee of High Road Capital.

I understand I am responsible for maintaining carrier and DOT compliance at all times.

I agree to operate under the following standards at all times:

• No smoking in the truck

• No unauthorized passengers

• No pets

• Daily inspections and cleanliness

• Immediate reporting of mechanical issues

I understand this program requires consistent operation and the ability to run at a high level to keep the lease in good standing.

I confirm that I have never been terminated by a carrier for a safety or compliance violation.

Do you have a TWIC card?

Yes

No

Years of CDL Experience

What type of CDL experience do you have? (Container/Intermodal, Tanker, Reefer, Flatbed, Dry Van, Other)

Any home-time requirements?

Current Driving Status:

I am currently leased to a carrier but do not own my truck.

I have already selected a carrier that fits this program, have been in contact with them, and only need a truck to get started.

I am currently driving but cannot operate this program with my current carrier and would need to transition to a different one.

I am a company driver preparing to lease onto a carrier soon.

I am not currently driving or do not have a carrier plan yet.

Do you have a consistent track record of running steady miles and operating at a high level

Yes

No

How many miles per week do you typically run?

Under 1,500

1,500–2,000

2,000–2,500

2,500+

Do you understand that High Road Capital LLC covers normal maintenance and repairs, but driver-inflicted damage, neglect, abuse, or preventable issues will be deducted from your settlements?

Yes

Any major accidents or DOT violations in the last 3 years?

Yes

No

If Yes, explain...

This program is for drivers prepared to run at a high level and operate their own business. Why are you specifically interested in this program?

If approved, you'll provide the following before your lease is finalized: copy of your CDL (front and back), DOT medical certificate, government-issued photo ID, completed W-9, and a void check or bank letter. Insurance proof is collected at signing once your truck is assigned.

I certify all information is true and complete, and I authorize HRC to obtain credit, background, motor vehicle, employment, prior-carrier, and drug/alcohol records to evaluate this application. I understand submission does not obligate HRC to approve any agreement, and any misrepresentation is grounds for denial or termination.

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