Carrier registration | C.H. Robinson

Business identity

Enter your business details as they appear on your operating authority.

Legal company name *

DBA (if any)

MC / MX / FF number

USDOT number *

SCAC

Entity type

Federal Tax ID / EIN *Used for your W-9. Do not enter a Social Security number.

Years in business

Business address

The physical address on file for your authority.

Street address *

City *

State / Province *

ZIP / Postal code *

Country

Company phone *

Company website

Contacts

Who we should reach for dispatch and billing.

Primary contact name *

Title

Email *

Mobile phone *

Dispatch / after-hours phone

Accounting / billing email

Operating authority & safety

Your FMCSA authority and safety standing.

Authority type

Authority status

FMCSA safety rating

Date authority granted

Insurance

A Certificate of Insurance naming us as certificate holder is required before your first load.

Insurance agency / provider *

Agent name

Agent email

Agent phone

Auto liability limit

Cargo insurance limit *

Auto policy number

Policy expiration date

Equipment & operations

Select all equipment types you operate.

Power units *

Trailers

Driver type

Lanes served

Hazmat certified

TWIC card

ELD provider

Tracking / visibility

Payment, documents & references

Bank details are collected securely during a later step. Do not enter account numbers here.

Payment preference

Factoring company

Remit-to (if different)

W-9

Certificate of Insurance

Operating authority letter

Reference 1

Reference 2

Review & signature

Confirm your details, then complete the agreement to finish.

Download the Carrier Agreement. It contains confidential terms, so it is executed as a signed document.

Download agreement (PDF)

Sign it in a trusted program. Open the PDF in a signing application and apply a certificate-based digital signature. Do not sign by typing your name into an email.

Download the signer — Adobe Acrobat Reader (free)

Upload your signed PDF. *

Transmitted over an encrypted connection.

I agree to the Carrier Agreement, Terms of Use, and Privacy Notice. * I certify the information provided is accurate and I am authorized to bind this carrier. *

This form is provided for demonstration and is not connected to a live system; no information is submitted, transmitted, or stored. Connect it to your backend or e-signature provider before going live.