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B & D Transportation Consultants, Inc. - Transportation Consultants B & D Transportation Consultants, Inc. – Transportation Consultants

Authority Work


2018 South Kings Hwy
Noel, MO 64854
Phone: 417-475-4112 Fax : 417-475-4113
2964 W Huntsville Stu I
Springdale, AR 72762
Phone: 479-381-4662 Fax: 479-365-7474

The questionnaire for ordering and authorizing the following items:
Dot number MC number Tags IFTA Permits

Contact Person
Email
Phone
Fax
Legal Name of Business
Doing Business As Name
Physical Address of business
Mailing Address of business
Federal ID or EIN of Business
Form of business
Sole Owner
Partnership
Inc
LLC
President
DOB
Social
Vice Pres
DOB
Social
Sec/Trea
DOB
Social
B&D Transportation Consultants, Inc Bonnie and or Dee may contact your insurance for updated insurance cards or insurance certificates for FMCSA:
Name of Insurance Company
Agents Name
Phone Number
Policy Number

Will you be operating vehicles having a gross vehicle rating (GVWR of 10,000 lbs. or more 26,000 lbs.)

Non-Hazardous Commodities (insurance $750,000)
Hazardous Commodities (insurance $1,000,000)
Hazardous Commodities (insurance $5,000,000)
Do you have an Active MC (authority) number
Do you have an State DOT number
Do you have intrastate authority on File
Authority Pricing ($)

The fees will cover one MC, DOT authority and BOC-3

Separate fees are required for each authority ordered; the above fees do not include fees for:
Individual permits: example overweight

Select ones you would like:
Kentucky
New Mexico
Oregon
New York
Tags
IFTA
Intrastate
Number of units at 10,000 lbs.
Number of units over 26,000 lbs.
Number of dry van trailers
Number of Reefers
Number of Dump Trucks
Number of Axles
Your Signature ( clear )
Date