Auuthority App

Secure online payments accepted.

ADDRESS CHANGE

COMPLETE THE APPLICATION BELOW AND UPON RECEIPT I WILL PERSONALLY CALL YOU.

Who is Rex Evilsizor???

Rex is a retired ICC (Interstate Commerce Commission) Investigator (Special Agent) with almost five (5) decades in transportation. Rex received his Transportation Practitioners license and is also a Licensed Insurance Agent.

We have a total "In-House" service for all your transportation needs. Why go anywhere else.

We can help you with the authority that is best for you and get your MC number and USDOT number in minutes
We have our own Process Agent Company (BOC-3)
We can get a copy of your authority on the date it is granted. You don't need to wait for the FMCSA to mail it to you.
Rex can personally help you with the Insurance and broker bonds you need.
Let me show you how to save about 2/3rd's of a months insurance premium (the savings will more than pay for my services)
Contingency cargo insurance is available for brokers.
State Permit office
Fuel Tax Reporting
Rex is your personal consultant

Check out my articles at: http://www.layover.com/owneroperator/rexpert/

Also check out my article in the Internet Truckstop Magazine called "IT"

COMPLETE THE APPLICATION BELOW AND UPON RECEIPT I WILL PERSONALLY CALL YOU.

ADDRESS CHANGE

Includes filing with the FMCSA and new BOC-3

*I can even help you with your insurance needs.

Complete package - NO HIDDEN COSTS!
For further assistance call us at 866-382-6638

ADDRESS CHANGE includes filing with the FMCSA and new BOC-3

NAME *Required

DOING BUSINESS AS:

SSN or EIN:

PHYSICAL ADDRESS, CITY, STATE & ZIP CODE

MAILING ADDRESS, CITY, STATE & ZIP CODE

TELEPHONE NUMBER:
* Required FAX NUMBER :

EMAIL ADDRESS:
* Required

BUSINESS TYPE:
Individual;
Partnership;
Corporation (State - );
LLC (State -

Name of Owner/Officer: * Required

Title of Owner/Officer:
If other, please specify:

YOU MUST ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS:

1. Do you have ICC/FHWA Authority now?
(Yes) or (No) MC#

2. Do you or anyone connected with company now have interest in any other ICC/FHWA regulated carrier or broker?
(Yes) or (No)
If "YES" list Name of Company
and MC#

3. Have you ever had a DOT Safety Audit?
(Yes) or (No)

PRESENT DOT NUMBER (IF ANY)
Safety Rating (If any)

4. (Yes) or (No) Have you been convicted after September 1, 1989, of distribution or possession of a controlled substance?

5. (Yes) or (No) Will your operations be conducted in compliance with the DOT rules and regulations or safety?

6. (Yes) or (No) Are you domiciled, owned, or controlled by persons in Mexico?

7. (Yes) or (No) Are you a US Citizen?

Payment Method: *required

Credit Card Information

Type:

Amount Charged:

Card Number: Expiration:

Security Code: (4 digits for AMEX; 3 digits for all other card types)

Cardholder Name:

Billing Street Address:

Billing Zip Code:

All information is strictly CONFIDENTIAL and is NOT SHARED with anyone! There is no obligation.

DO YOU HAVE THE BEST AUTHORITY FOR 2008???

DO YOU KNOW HOW TO MAXIMUM YOUR AUTHORITY???

How did you hear about us?

(((NOTE: If this form does not Submit properly, please call Rex at 866-382-6638 and/or fax to 866-729-5904.)))