Apply as Insurance Provider

Get vetted and listed on FreightLink's Insurance Marketplace

Provider Application

Company Name *

Your Name *

Phone *

Company Website

Referred By (Optional)

💡 If someone referred you to FreightLink, enter their email here!

Insurance License Number (Optional)

💡 Optional: Provide if you have a specific insurance license number

Years in Business

States Licensed to Operate

Approximate Number of Carrier Clients

Discount for FreightLink Members (Optional)

Company Description *

Professional References

Upload Company Logo(optional)

Drag & drop or click / tap to select from your computer or phone

PNG, JPG or WebP · Square or horizontal · Will appear on your marketplace listing

Insurance License Document (Upload) (Optional)

💡 Optional: Upload your insurance license document if available

Business Certificate (Upload) (Optional)

💡 Optional: Upload your business registration certificate if available