Tow Provider Application

Apply to Join the JMeC Tow Network

Complete this form to join the JMeC Connect tow and roadside dispatch network. After review, you may receive towing, roadside, and emergency dispatch requests in your area.

Tow Provider Application

This form collects your tow operator details. Licensing and insurance verification is completed through the provider portal after review.

Important: Do not upload documents here. Enter ID, license, or policy numbers if available. You will receive instructions to submit verification documents through the provider portal after your application is reviewed.

1. Basic Contact

Full Name *

Phone Number *

Email Address *

Business Name (if any)

City *

State *

2. Service Area

Primary / Home ZIP Code *

Service Radius Miles *

City / Area You Serve *

ZIP Codes You Serve *

List every ZIP where you will accept work. Used for dispatch matching.

3. New Application or Update?

Are you a new applicant or updating existing info? *

Existing Partner / Application ID (if updating)

4. Services & Equipment

Tow / Roadside Services You Offer *

Towing Jumpstart Lockout Flat tire / roadside Fuel delivery Vehicle transport Recovery / winch-out Heavy towing

Equipment Types *

Flatbed Wheel lift Integrated / repo Heavy recovery Motorcycle tow Rollback

5. License, Insurance & DOT

State Towing License Number (TDLR in TX or equivalent) *

Towing License State *

Commercial Towing Insurance Carrier *

Insurance Policy Number *

Coverage Amount

DOT Number (if applicable)

Average Response Time in Your Area *

6. Availability

Availability Status *

Time Window Available *

Days Available *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday Weekends only After hours only

Full-time or Part-time? *

After-hours or emergency availability? *

7. Plan Selection

Which plan interests you? *

Plan activation and payment are handled during the provider review process — not through this form.

8. Referral & Bio

How did you hear about JMeC Connect? *

Referred by someone?

Short Bio or Message to JMeC

Website or Social Link

Additional Notes

Agreement Confirmation *

I agree to receive recurring text messages from JMeC Connect at the mobile number I provided above about my provider account, including job offers, dispatch assignments, customer messages, quote requests, and payout notifications. Message frequency varies. Message and data rates may apply. Reply STOP to unsubscribe or HELP for assistance. Consent is optional and is not a condition of becoming or remaining a JMeC Connect provider. See our Privacy Policy and Terms of Service.

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