Heavy Hauler Form

Heavy Hauler Form

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

First Name Last 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 *

Peterbilt Volvo Freightliner Kenworth Western Star DEMAG International Mack Oshkosh White Other
Year *
Model *
Number of Axles on Power unit *
Power unit Plate # *
Power unit Plate State *
Trailer Type *

Flatbed Lowboy Step-deck Stretch Single Drop Stretch Double Drop RGN Dual-lane
Trailer Make *
Number of Axles on trailer *

2 3 4 5 6 7 8 9 10
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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