My Estes
Contact Us
Careers
About Us
Learn about our 85 years of progress
»
Services
Tools
Resources
Coverage
FAQs
Tools
EDI Form Transmission Request
Required fields are in
*BOLD
Customer Information
*Is this a Level 2 Logistics Request?: Yes
No
*Company Name:
*Address:
*City:
*State:
*Zip:
*Phone:
-
-
ext
Fax:
-
-
Website:
Freight Payment Agency:
Freight Management Company:
Primary EDI Contact:
*Name:
*Phone:
-
-
ext
Title:
Fax:
-
-
*E-mail:
Secondary EDI Contact:
Same as Primary Contact
Name:
Phone:
-
-
ext
Title:
Fax:
-
-
E-mail:
Accounts Payable Contact:
Same as Primary Contact
Name:
Phone:
-
-
ext
Title:
Fax:
-
-
E-mail:
Business Contact:
Same as Primary Contact
Name:
Phone:
-
-
ext
Title:
Fax:
-
-
E-mail:
Traffic Contact:
Same as Primary Contact
Name:
Phone:
-
-
ext
Title:
Fax:
-
-
E-mail:
Additional Contact:
Same as Primary Contact
Name:
Phone:
-
-
ext
Title:
Fax:
-
-
E-mail:
Type of EDI billing required:
Select Billing Type
Prepaid/Outbound Bills Only
Collect/Inbound Bills Only
Both Prepaid/Outbound and Collect/Inbound Only
Third Party Bills Only
All Prepaid/Outbound, Collect/Inbound, Third Party
Form: Please select desire document types
204 Load Tender / Pickup Request
210 Invoice
211 Bill of Lading
212 Trailer Manifest
214 Shipment Status
990 Response to a load tender
Other
Auto Accept?
Yes
No
Use 211 as pickup request?
Yes
No
Are you able to send reserve PRO numbers in the BOL06?
Yes
No
Comments:
Can you provide a 214 report card to Estes Express?
Yes
No
Estes Account Numbers(s): (
Get Account Number
)
Add more Account Numbers
Addresses for locations requesting EDI:
Add more Addresses
Will reserved bills be used?
Yes
No
Third Party Networks for EDI Applications (EDI VAN)
Kleinschmidt (Estes Express utilizes Kleinschmidt)
Other:
Type of EDI Header:
Select EDI Header
ISA
BG
If FTP is preferred method of communication, provide the following:
Server Address:
Username:
Directory path:
Password:
Header Information:
Estes Express
ISA Qualified:
02
ISA ID:
EXLA
SCAC:
EXLA
Production BG01(Password):
Test BG01(Password):
Production BG03(Receiver ID):
Test BG03(Receiver ID):
Production ISA Qualifier:
Test ISA Qualifier:
Production ISA Receiver ID:
Test ISA Receiver ID:
Production GS ID:
Test GS ID:
TDCC/ANSI Version: 4010, 4030 etc...
Person Completing Form:
Same as Primary Contact
Name:
Phone:
-
-
ext
Select to send a copy of this request to your e-mail address
E-mail:
Services
|
Tools
|
Resources
|
Coverage
|
FAQs
|
My Estes
|
Contact Us
|
Careers
|
About Us