VEHICLE FORM

Required forms to obtain USDOT and State Permits

Expiration date

Insurance Company

Policy#

Sign below. By signing below, you are stating that you are authorized to order permits under the above company

Routes (For trip & Fuel permits)

State (For trip & fuel permits)

Trip Date and time (Only for trip & Fuel permits)

Drivers Name

Empty weight *

GVWR *

# Axels *

State *

Plate # *

Full VIN # *

Make *

Year *

Truck unit# *

mc#

USDOT# *

Owner SSN

Address *

Email *

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Fax

Phone *

EIN/FED ID *

Contact Name *

DBA Name *

Vehicle Form-Legal Company Name *

If you are purchasing permits along with your authority, you need to submit your vehicle information for State Permits or USDOT , just complete and submit the vehicle form below.

Vehicle Form

Blue Ridge TM LLC

MC Authority, ICC MC, USDOT, trucking authority, bond for freight broker, BMC 84 surety bond, broker surety bond, hazmat , unified carrier registration, ACE Manifest, ELD

Phone 706.435.0531

File My IRS 2290