Get My Authority

Order Form

Packages   |   Truck Info   |   USDOT Questionnaire   |   # of Trucks   |   # of Drivers   |   Billing Info



Use the form below to securely sign up to Get My Authority Events. Fields that are marked with asterisks ( * ) are required fields.

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*Legal Name of Business (Individual, INC or LLC)
Doing Business As / DBA ( Business Name)
Physical Street Address
City
State
Zip
Mailing Address (PO Box/Street, if different)
City
State
Zip
Owner's Name & Title

*Select Form of Business

*Phone (Public Information)
Cell / Alternate (Not Public)
Fax (Not Public)
*Email (Not Public)
*EIN OR SS# required for all applications:
EIN (Federal Tax ID #)
Owner's Social Security #

Package Price Total
Basic Package (MC, USDOT & BOC-3) $449.00 $
Express Package for 1-2 trucks ( Basic plus UCR) $580.00 $
Express Package for 3-5 trucks ( Basic plus UCR) $740.00 $
Express Package for 6-20 trucks ( Basic plus UCR) $980.00 $
Broker Package $425.00 $
Broker Package plus UCR registration $560.00 $
USDOT # $40.00 $
USDOT #Package (USDOT # and UCR) Includes UCR registration for 1-2 trucks $175.00 $
USDOT #Package (USDOT # and UCR) Includes UCR registration for 3-5 trucks $335.00 $
USDOT #Package (USDOT # and UCR) Includes UCR registration for 6-20 trucks $575.00 $
UCR Registration UCR registration for 1-2 trucks or Broker $135.00 $
UCR Registration UCR registration for 3-5 trucks or Broker $295.00 $
UCR Registration UCR registration for 6-20 trucks or Broker $575.00 $
Kentucky KYU # registration $40.00 $
New Mexico Tax ID Permit (1 Truck)        Add Trucks? ($7/ea.) $40.00 $
SCAC (Standard Carrier Alpha Code) $90.00 $
HazMat Permit - Federal (License year runs July 1st - June 30th) $350.00 $
BOC-3 Process Agent Filing No yearly fees or renewals $50.00 $
Expedited Certificate* $25.00 $
* Authority Certificate the day it is granted instead of waiting for it to be mailed. TOTAL $0.00

Truck Information - Please complete if adding KYU # or New Mexico, Not required for USDOT #
Required for KYU and New Mexico Required - NM
Make Year Unit # VIN # - Full 17 digits req'd GVWR License Plate # State

USDOT Questionnaire

Ever had a USDOT Number?               
                     
 
Operation Classifications (Check all that apply)
 
 
Cargo Classifications (Check all that apply)
 
Hazardous Materials?          

Number of Trucks Operated - (Please enter the number of trucks for each category)
  Owned Trip Leased Term Leased
Straight Trucks
Truck Tractors
Trailers
HazMat Cargo Tank Trucks
HazMat Cargo Tank Trailers
Motor Coach
Number of Vehicles carrying number of Passengers ( Including Driver):
School Bus: 1-8
School Bus: 9-15
School Bus: 16+
Mini-Bus: 16+
Passenger Van: 1-8
Passenger Van: 9-15
Limousine: 1-8
Limousine: 9-15
Limousine: 16+

Number of Drivers - (Enter # for each type)
  Interstate Intrastate Total Drivers Total CDL Drivers
Within 100 Air-Mile Radius
Greater than 100 Air-Mile Radius

Billing Information

Billing Info:  

Total: $0.00

* Credit Card Type:

* Credit Card Number:
* Name on Card:
* Expiration Date:
* CVV2 Number : (Help)
* Card Billing Address:
* City,: *State: *Zip:

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Please allow several minutes for the transaction to process.



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