APPLICATION FORM FOR MOTOR CARRIER AUTHORITY |
Shown below is an application that will provide us with basic information that is needed to file for your authority.
After completing the form, please contact us at 239-985-6500 so we can review the information. We also need to get some additional information that is required before we can file. If there is information requested below that you don't have, or, your are not sure of, just leave the field blank.
The cost to obtain your authority is $440. This includes a new DOT Number and MC number, the $300 filing fee and the BOC-3 and access to our 4 loadboards for one year FREE. Loadboards included FREE for one year when we help you obtain your authority include: - loadsolutions.com
- freight-terminal.com
- hotshotcarrier.com
- stepdeckcarriers.com
Hopefully these loadboards will help you to get started and keep you busy and help your contacts and develop loyal customers.
The day after we file, we can generally take care of the UCR requirement for you if you want to get it out of the way. The cost for up to 2 trucks is $111.60. You can delay this filing until you are ready to start operating but it is important that you don't forget it as it is something enforcement officials always watch for.
Expedited Service: If you would like a copy of your license the morning it is issued, we can setup an expediting service to provide you with a PDF copy of your MC license the morning it is approved so you don't have to wait another 7 to 10 days for your license to arrive in the mail. The cost is $25.
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SERVICES REQUESTED
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| *Type of Authority: |
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| *UCR - (Unifier Carrier Registration): |
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| *Expedited Service: |
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CONTACT INFORMATION
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| Your Name: |
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| Best Contact Number: |
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| * EMail
Address: |
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COMPANY INFORMATION
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| Type of Business: |
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| Legal Name: |
Examples:
1. (For Sole Proprietor) William Henry Smith - William H Smith - William Smith
2. (For LLC or INC) Smith Express Trucking LLC
3. (For Partnership) William H Smith and Samual R Robinson
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| DBA (Doing Business As): |
DBA names are normally used when the business is Sole Proprietor or Partnership.
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State of Formation:
For LLC or INC Company Only |
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| Enter at least one name and title of sole proprietor(s), officers or partners
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Applicant One (Required)
Name and Title: |
(e.g. Owner, President, Treasurer, General Partner, Limited Partner, etc.)
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Applicant Two (Optional)
Name and Title: |
((e.g. Owner, President, Treasurer, General Partner, Limited Partner, etc.)
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| Social Security Nbr: |
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| OR Federal Tax EIN: |
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BUSINESS PHONE NUMBERS
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| Business Phone: |
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| Cell Phone: |
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| Business Fax: |
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PHYSICAL ADDRESS |
| Street Address: |
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| City: |
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| State: |
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| Zip Code: |
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MAILlNG ADDRESS (If Different) |
| PO Box or Street Address: |
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| City: |
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| State: |
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| Zip Code: |
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EQUIPMENT AND DRIVERS
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| Number of Trucks: |
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| Number of Trailers: |
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| How Many Drivers: |
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| How Many will have CDL: |
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WEBSITE LOGIN INFORMATION
(For 1 Year Free Access to Our Loadboards)
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| Username: |
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| Password: |
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COMMENTS
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| Comments
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NOTE: Please call 239-603-6080 after you hit the send button
We need to review the information with you and obtain some additional
information that is required to file for your authority.
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