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- Click ‘Get Form’ to open it in the editor.
- Begin with Section A: Motor Carrier Information. Fill in your legal name, DBA name if applicable, and physical address. Ensure that the mailing address is accurate if different from the physical address.
- Continue by entering your contact details including phone numbers and email address. Make sure to provide your TID Number and FEIN/SSN for identification.
- In Section B, indicate the type of motor carrier operation by checking all relevant boxes. This includes whether you operate interstate or intrastate and the types of materials transported.
- Complete Section C by selecting your business type and providing proof of public liability security. Ensure that an authorized official signs the certification statement at the end.
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