Carrier Name

Carrier T-code

Carrier SCAC

ISA/GS Identifiers

First Name

Last Name

Contact Phone Number

Carrier Business Contact Email

Carrier Tech Contact Email

CHR Business Contact Email

Estimated Development Start Date

Estimated Production Start Date

Is there another segment of your company that is EDI enabled with CHR? Yes No

Do you have a 3rd party EDI developer? Yes No

What type of documents will be included in this project? 204 (Load tenders) 210 (Invoices) 214 (Load status updates) 990 (Tender acceptances) Other

Have your reviewed the CHR EDI specifications? Yes No

Already mapped C.H. Robinson's specifications? Yes No

Can you deliver geo-coded in-transit load updates every 15-30 minutes via EDI? Yes No

What will your connection type be? AS2 FTP sFTP VAN

How did you hear about us? CHR Representative Email Website

Additional comments:

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