Provider Network Application
Contact & Territory
Service Capabilities
Compliance & Documentation
Provide owner details, primary facility address, and zip codes reachable within a 45-minute response window.
Select your active fleet capabilities, 24/7 operating availability, EV readiness, and digital dispatch setup.
Upload your signed W-9, matching COI, electronic signature, and complete staff background check files.
Document Requirements Checklist
Submissions missing compliant background checks or matching COI addresses will experience delayed processing.
IRS W-9 Certification
Certificate of Insurance
Employee Background Checks
Upload an accurate signed W-9. Ensure the tax address matches your facility filings and certify backup withholding status.
COI facility address must match your physical location exactly. Minimum liability coverage requirements must be satisfied.
Mandatory background check documentation is required for all active drivers and employees in your business organization.
Complete Application Form
Provide your contact details, service coverage, and confirm tax/insurance documentation. By checking the agreement, you accept Agero's Network Terms and Conditions.
45 min
Target response ETA territory window