Company Registration
You're about to start the company registration process.
Please complete all required information across four simple steps.
Registration Steps:
Company Basic Information
Company Details
Administrator Account Credentials
Summary
Enter your company DOT number then hit next at the top of this form to proceed.
Company Information
Company Owner Information
User Account Information
Please wait while we're processing your registration form, do not refresh this page
Registration Completed Successfully!
You can now proceed to the login page.
Company Information
Company Name:
Phone:
Email:
DOT Number:
UUID:
Employee Information
First Name:
Last Name:
Position:
Phone:
Email:
Registration Validation Error
Please review and correct the following issues:
Need assistance? Please contact our support team at contact@carrierindex.com.
Verify that the following data is correct, registration will be possible after checking the required consents
Company Information
Name:
DOT:
Phone: 🇺🇸 +1
Email:
Type:
Insurance company:
Insurance Expiry:
Owner Information
Full Name:
Phone: 🇺🇸 +1
Login Information
Email:
Password: ••••••••
Required Consents
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Carrier Index
contact@carrierindex.com
+1 909 220 1439
38692 Amateur Way
Beaumont, CA 92223