Authority Questionnaire

Authority Questionnaire
At MarWest Logistics we can help you get your Trucking Company set up and on the road. Saving you time, headaches, confusion on what is needed and money. All you will have to do is Get your Insurance, your Truck and get signed up with our dispatchers to keep you Rolling.

LLC set up $300

Name Reservation

EIN

LLC

Basic Authority Set Up $600

DOT #

MC #

BOC3

UCR
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Business Name *Exactly how it appears on paperwork*
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number

Area CodePhone Number
Business Email
example@example.com
Company Officers Name with Titles
Person Authorize to talk or answer question about application on owners behalf First Name Last Name Email Area Code Phone Number
Will you need to obtain a Certificate of Name Reservation?
Additional Fee
Will you need to file a Certificate of Formation with Your State ?
Additional Fee
Will you need to obtain an Employer Identification Number (EIN) ?
Enter EIN Number if you have one
Will you need to obtain a DUNS NUMBER?
Enter DUNS Number if you have one
Will you need to apply for a DOT / MC Number ?
Enter DOT Number if you have one
Will you need to apply for a UCR?
Will you need to apply for a BOC3 ?
Will you need to apply for a SCAC Code?
Additional Fee
What type of Truck do you have or plan on getting?
How many ?
What do you plan on hauling ?
Disclaimer:

I am only filing paperwork on your behalf.

Authority will not be granted if all requirements are not meet. It will take up to 21 days for FMCSA to process your application. I am not responsible in any shape or form on the Decision that FMCSA makes to grant you Authority or Not.
Signature

Clear
Please keep in mind that it will take the FMCSA 18-21 calendar days for your MC number to become active.

Payment accepted by

ZELLE 504-881-3405

or

CASHAPP https://cash.app/$ JayCWest
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