Online Registration Form

Registration Form

Please fill out the registration form below (an asterisk indicates required information), confirm that all of your information is correct, and press Submit Registration Information to begin the enrollment process. Click here to view or download our registration help guide.

Company Information

Company Name *
Owner's Name *
Email Address *
Office Phone Number *
Cell Phone Number
Fax Number
Dispatch Contact *

Business Address

Address 1 *
Address 2
City *
State *
Zip *

Remit To Address

Address 1 *
Address 2
City *
State *
Zip *

Insurance and Tax Information

Insurance Agent Name *
Insurance Agent Email
Insurance Agent Phone *
Insurance Agent Fax *
DOT Number *
ICC MC Number *
Federal Tax ID *

Fleet Information

States/Regions Serviced
Trucks In Fleet *
Total Capacity *
INOP Capable
Have Winches
Trucks Have Internet
Have Straps
Enclosed Trucks
TWIC Card

Equipment Specifications

Please specify the quantities of the open and enclosed trucks you have in your available inventory.

Equipment Type Open Quantity Enclosed Quantity
1 Car
2 Car
3 Car
4 Car
5 Car
6 Car
7 Car
8 Car
9 Car
10 Car
Flatbed

Registration Paperwork

Download Documents

Please download, review, and complete the following registration documents as indicated. Notice: Files must be in PDF format in order for registration to be submitted.

Attach Files

Once you have completed the above registration documents, please use the following form to designate them as ready to be uploaded from your computer once you finalize and submit the registration form.

Review and Submit

Please review all of your enrollment input in the above fields to ensure its correctness.

Once you are ready to submit your registration form, please click the 'Submit Registration Information' button below.

Please contact us at any time if you have any issues with the online registration process.

About Enrollment

Registration Process

Registration Process Icon

At URAutoLoads.com, we make enrollment for carrier partnership easy.

1. Register Online

Begin by entering all of your carrier information into the Registration Form on this page. Submit your information to our system to begin the enrollment process.

2. Complete Paperwork

Upon processing your enrollment information, we will provide you with the appropriate documents to complete the registration process.

3. Become a Partner

Once your paperwork is complete, our partnership is official and you can begin to leverage the power of URAutoLoads.com to its full advantage!

Help

Registration Help Guide

Click below to view or download our registration help guide:

For additional assistance with the registration process, please contact us via the methods located here.

At URAutoLoads.com, You Are In the Driver's Seat