Phone * Email * Title or Role * Choose One Owner President Vice President Partner Member Company Name (If sole proprietor enter your full name) * DBA - Doing Business As Do you have a current DOT #? * DOT Number State of Incorporation Employer Identification Number (EIN) or Social Security Number * Is the above an EIN or Social Security Number? * Mailing Address Different Than Above? Authority Information Are you Enrolled in an Arbitration Program?
All Household Goods companies are required by FMCSA to be enrolled in an Arbitration Program.
Enter the Arbitration Program Name, Address, and Phone Number Below Have you owned a DOT regulated trucking company in the past 3 years? * # of Straight Trucks Owned (Ex: Box Truck) # of Straight Trucks Leased (Ex: Box Truck) # of Truck Tractors Owned (Ex: Semi-Truck, Pick-up truck) # of Truck Tractors Leased (Ex: Semi-Truck, Pick-up truck) # of Trailers Owned # of Trailers Leased Do any of the above require a CDL to drive? Are one or more trucks above 10,000 pounds (gross weight)?
If the combination of a truck, trailer, and freight is greater than 10,000 lbs, you must select YES.
# of Drivers # of Drivers with CDL Will you travel Interstate (between states) or Intrastate (only one state) Will you travel beyond 100 miles from your business address? Will you carry hazardous materials Will you travel to Canada or Mexico? Which countries will you travel to? Citizenship Country Type of Freight you will carry. Select all that apply Other If you transport motor vehicles (cars) or provide drive-away / tow-away services, you will be required to file as carrying Hazardous Materials for purpose of financial responsibility requirements *
FMCSA Guideline: Even though vehicles being transported by motor vehicle are subject only to 49 CFR 173.220 of the HMRs, they meet the definition of “Hazardous material” in 49 CFR 171.8 because “Vehicle, flammable gas powered” and “Vehicle, flammable liquid powered” are designated as hazardous in 49 CFR 172.101 [UN 3166]. For that reason, vehicles transporting other vehicles would have to carry $1,000,000 of public liability insurance. See website: https://www.fmcsa.dot.gov/regulations/are-motor-vehicles-being-transported-considered-be-hm-purposes-financial-responsibility
Number of accidents in the past 12 months Authority Package
Includes DOT number, Carrier Authority (MC Number), and BOC-3 Process Agent Filing
Do you want us to complete your UCR registration? $80 for up to 2 trucks I certify that above information is correct to my knowledge. Pro Trucking Service will invoice me for $495 (+UCR if selected). Once invoice is paid, Pro Trucking Service will submit the authority application within 24 hours. *