Heavy Hauler Form

Heavy Hauler Form

Note: Complete one form for each power unit and trailer combination
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Company Name (Legal)*
FEIN Number*
DOT#*
Power unit#*
Power unit Full VIN/SN#*
Power Unit Make*

PeterbiltVolvoFreightlinerKenworthWestern StarDEMAGInternationalMackOshkoshWhiteOther
Year*
Model*
Number of Axles on Power unit*
Power unit Plate #*
Power unit Plate State*
Trailer Type*

FlatbedLowboyStep-deckStretch Single DropStretch Double DropRGNDual-lane
Trailer Make*
Number of Axles on trailer*

2345678910
Trailer unit#*
Trailer Full VIN/SN#*
Trailer Plate #*
Trailer Plate State*
Maximum freight weight in Pounds.*
Example 50,000 (40,000 pounds (with two axles) and up to 80,000 pounds with extra axles)
Maximum well length*
Example: 24 ft. to 29.6 ft.
Maximum well height Inches*
Example: 18 in. to 24 in.
Maximum legal width in Feet
Example: 8.5 ft.
Maximum legal freight height in Feet*
Example: 11.5 ft. to 12 ft.
Truck and Trailer Photos*

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Please verify that you are human*
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