RXO - Transportation and Logistics

Carrier Information Form

Please complete the form below to submit your carrier packet.

Primary Contact

Name *

Phone Number *

Position / Title *

Equipment

Equipment Type *

Number of Trucks *

Route Location *

Insurance

Insurance Company Name *

Auto Liability Limit *

Cargo Insurance Limit *

Payment Method Preference

Please select your preferred payment method.

Instant Payment Method (Daily payments with a 1.5% deduction.)

By Factoring (Payments depend on your factoring company's policies.)

Standard Payment Method (Weekly payments with no deductions.)

Factoring Information

Do you use a factoring company? *

Note: After submitting the carrier packet, please attach the following documents to an email and send them to carriersetups@rxocapacitysolution.com: Driver's License, W-9 Form, Cargo Liability Insurance, Truck Pictures, MC Authority, Voided Check.

Digital Signature

Please draw your signature below. The signature is required to submit the form.

Carrier Packet