Interstate Authority Application (Base State Only)

Note: Interstate Authority services for a base state only start at $300 per application. Fees vary depending on authority type and the number of vehicles/drivers included. Prices collected in this form will be applied toward your final invoice.

Legal Business Name: *

Doing Business As:

FEIN / Tax ID:

Primary Contact Name: *

Contact Phone Number *

Contact Email Address *

Business Address *

Base State & Authority Info

Authority Type Requested:

Motor Carrier of Property (for-hire)

Motor Carrier of Passengers

Broker Authority

Freight Forwarder Authority

Base State:

Alabama (AL)
Alaska (AK)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
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USDOT Number *

MC/MX Number (if applicable):

Prior Authority / Existing Filing:

Requested Effective Date:

Driver & Vehicle Information

Number of Power Units:

Number of Drivers:

Number of Trailers / Special Equipment:

Primary Vehicle Types:

Tractor-Trailer
Straight Truck
Bus / Passenger Vehicle
Other [Text field]
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For Each Driver and Vehicle,

Please complete the section below:

Each Additional Vehicle (beyond 1): $50/vehicle

Each Additional Driver (beyond 1): $25/driver

Driver#1 Details Below

Driver 1 Full Name: *

Driver 1 CDL Number: *

Driver 1 CDL State: *

Driver 1 Phone Number:

Copy of Driver 1 License

Vehicle #1 Details Below

Vehicle 1: Year / Make / Model / Color: *

Vehicle 1: VIN (Vehicle Identification Number): *

Vehicle 1: License Plate Number & State: *

Vehicle 1: State of Registration: *

Vehicle 1: Unit Number *

Vehicle 1 Type (e.g., Truck, Tractor, Bus): *

Vehicle 1 Registered Weight:

Driver #2 Details Below

Driver 2: Full Name:

Driver 2 CDL Number:

Driver 2 CDL State:

Driver 2 Phone Number:

Copy of Driver 2 License

Vehicle #2 Details Below

Vehicle 2: Year / Make / Model / Color:

Vehicle 2: VIN (Vehicle Identification Number):

Vehicle 2: License Plate Number & State:

Vehicle 2: State of Registration:

Vehicle 2: Unit Number

Vehicle 2 Type (e.g., Truck, Tractor, Bus):

Vehicle 2 Registered Weight:

Driver #3 Details Below

Driver 3: Full Name:

Driver 3 CDL Number:

Driver 3 CDL State:

Driver 3 Phone Number:

Copy of Driver 3 License

Vehicle #3 Details Below

Vehicle 3: Year / Make / Model / Color:

Vehicle 3: VIN (Vehicle Identification Number):

Vehicle 3: License Plate Number & State:

Vehicle 3: State of Registration:

Vehicle 3: Unit Number

Vehicle 3 Type (e.g., Truck, Tractor, Bus):

Vehicle 3 Registered Weight:

Schedule a Consultation for more than 3 Trucks/Drivers?

Yes
No
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Supporting Documents

Please upload clear copies of the following:

Proof of Insurance (Cargo & Liability)

Vehicle Registrations for all listed power units

Articles of Incorporation/Business License (if applicable)

Driver CDL Copies

Other Supporting Documents

Service Fee:

Base State Authority Application $300
- Filing for 1 vehicle & 1 driver
Base State Authority Application $375
- Filing for 2 vehicles & 2 drivers
Base State Authority Application $450
- Filing for 3 vehicles & 3 drivers
Additional Vehicle $50
Additional Driver $25

Pay the service fee now to get started — final pricing may adjust based on your authority type, vehicles, and drivers, and federal/state fees are billed separately. Please enter your payment details below to complete your request. *

$ 300

$ 375

$ 450

$ 50

$ 25

*100% secure & safe payments*

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