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

PLEASE NOTE:  It will take 20 days, from the date your MC number is assigned to obtain a copy of your authority, providing your BOC-3 and insurance is on file.  THE 20 DAYS IS A REGULATION AND THERE IS NO POSSIBLE WAY YOU CAN GET STARTED ANY SOONER EVEN THOUGH THERE ARE WEB SITES SAYING THEY CAN GET YOU STARTED IN LESS TIME.

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.

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.

 

 

       
   

Get your own FMCSA Authority
Only $499 - includes...
* FHWA filing fee  MC number
* US DOT filing  USDOT number for carriers
* Process Agents (blanket coverage-No Annual Fee)
 *We can also register with the State - UCRA

*I can even help you with your insurance needs.

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

 Authority Application - Covers all types of Motor Carrier & Broker Authority

 


Get Started here and $ave money!

I AM APPLYING FOR THE FOLLOWING AUTHORITY(S) 
FREIGHT or PASSENGER 

Motor Carrier:
Common Contract

Type of Commodity Requested:

  • General Freight;

  • Household Goods and/or

  • Hazardous Materials


Broker:
Broker (except Household Goods) 
Broker (of Household Goods)


Freight Forwarder:
Freight Forwarder (except Household Goods)
Freight Forwarder (of Household Goods)

For Freight Forwarder's only:

 

I own trucks. (Minimum of $750,000 BI&PD required + cargo)
I do not own any trucks. (only cargo insurance required)


I WILL BE TRANSPORTING THE FOLLOWING COMMODITIES:
(Freight carriers only)

General commodities, non-hazardous commodities 
(Minimum of $750,000 BI&PD required)

Household goods (The term "household goods' embraces not only personal effects and property from a residence to residence, but also relocations of offices, museums or the transportation of displays, etc.)
(Minimum of $750,000 BI&PD required)

Hazardous materials that require a minimum of $1,000,000 BI&PD 
(HAZMAT certificate application required)

Hazardous materials that require a minimum of $5,000,000 BI&PD 
(HAZMAT certificate application required)

NOTE: Common Carriers must have a minimum of $10,000 cargo insurance.


FOR PASSENGER CARRIERS ONLY

Passenger carrier transporting 1-8 passengers
(Minimum of $1,500,000 BI&PD required)

Passenger carriers transporting 9-15 passengers 
(Minimum of $1,500,000 BI&PD required)

Passenger carriers transporting more than 15 passengers.  
(Minimum of $5,000,000 BI&PD required)

Does not apply


Will operate vehicles having Gross Vehicle Weight Ratings 
(GVWR) of 10,000 pounds or more.

Will operate vehicles having GVWR under 10,000 pounds.

I do not have any vehicles.


APPLICANT 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:

ACTUAL COMMODITIES TO BE TRANSPORTED:


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?


Would you like us to tell you how much it will cost you for your Fuel Permit?

YES! - please send me a - FREE - Fuel Permit Quote, too!
(Note: State Permits are not included in the price of the authority.  A detailed quote will be sent to you according to the state specifications you designate below.)

#Number of Vehicles: Gross Vehicle Weight:   

IFTA/Mileage Tax Permits:  

IFTA     Base State KY; NM; NY; OR (Bond Required)

Yes, send me more information about Fuel Tax Reporting Service.


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:

Indicate by typing "Yes" that Cardholder authorizes Rex Evilsizor to charge $499 to my credit card for my motor carrier and/or broker and/or freight forwarder authority.

Billing Street Address:

Billing Zip Code:


NOTICE:  The FMCSA (Federal Motor Carrier Safety Administration) DOES NOT refund filing fees.  However, changes can be made...

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

How did you hear about us?


NOTICE:   The following information is necessary if you are going to transport in interstate transportation.

How many (Straight Trucks) (Truck Tractors) (Trailers)?

How many drivers with CDL?

Drivers driving in interstate within 100-mile Radius:

Drivers driving in interstate beyond 100-mile Radius:

((NOTE: If this form does not "Submit Application" properly, print form and fax to: 866-729-5904.)))

 (((NOTE:  Or just call Rex at 866-382-6638.)))