Get Started – Martin's Permit

Your Name*

First Last

Date of Birth*

Social Security Number*

Driver's License Number*

Driver's License State*

Your Business

Legal Business Name*

If it is a Sole Proprietorship or a Partnership the Legal Name is the name of the owner(s) (Ex. John A. Doe). If it is a Corporation or LLC, the Legal Name is the name of the Corporation or LLC (Ex. Acme, Inc.) Doing Business As (DBA)

Company EIN*

Numbers and dashes only.

Physical Address*

Street Address City State ZIP Code

Mailing Address

If different than your Physical Address.

P.O. Box or alternate street address City State ZIP Code

Email*

Enter Email Confirm Email

Preferred Contact Phone #*

Mobile #

FAX #

Services I’m Interested In (please give specific information in the notes section)*

Starter Kit
Quarterly Fuel/Mileage Tax Filing
Drug & Alcohol Consortium
Authority Services
USDOT Services
Unified Carrier Registration
IFTA & Weight Distance Tax Permits
Heavy Highway Use Tax (form 2290)
EIN number (federal tax ID number)

Service Interest Notes

Existing USDOT Number

USDOT Number

PIN Number

Will you...*

haul for for hire
haul your own property
haul hazardous materials

What type of freight will you haul?*

Briefly describe your cargo.

Vehicle Information

Please enter the number of each below its name.

Straight Trucks

Truck Tractors

Trailers

Pickup Trucks

Motor Coach

Mini Bus

16 plus passengers

Passenger Van

1-8 or 9-15 passengers

Driver Information

Please enter the number of drivers who drive...
Interstate = Crossing over state lines.
Intrastate = Staying within base state.

Interstate

within 100 mile radius

Interstate

beyond 100 mile radius

Intrastate

within 100 mile radius

Intrastate

beyond 100 mile radius

Total #

of drivers

Total #

of CDL drivers

Share any additional driver information here:

CAPTCHA

Let's Get Started

Information We Need

Your Business

Existing USDOT Number

Vehicle Information

Driver Information