STL Compliance Services

Compliance Order Request

Please ensure ALL information entered on this form is accurate. STL CONSULTING GROUP CANNOT BE HELD ACCOUNTABLE FOR INCORRECT INFORMATION.
CONTACT US:

Email: admin@semekalenterprises.com

Phone: 346-298-3599

Office Hours: Monday - Friday, 8am - 5pm CST

Closed Major Holidays

Please note: a consultation is required prior to rendering services. This is to ensure we have an understanding of your business and needs. Consultation fee will be applied as credit if you decide to move forward with service.
- Once we receive your request and have completed consultation, we will electronically file your information and provide you with appropiate copies or verifications via email.
- All requests are handled during normal business hours. Monday - Friday 8am - 5pm CST. Your order will be processed the same day if received by 4pm (CST). Orders submitted after this time will be processed promptly the next business day.
- If you have any questions or unsure of what services you need, please do not hesitate to contact us.
CLIENTS RESPONSIBILITY

Client understands and acknowledges they are responsible for providing STL Consulting Group the required documentation needed to render services in a timely manner. STL Consulting Group cannot be held liable for missed deadlines, late fees, or suspended licenses/registrations due to clients negligence. Clinets are responsible for responding to phone/text communication and check their emails for updates and outstanding tasks.

All purchases are considered non-refundable, but the fee can be transferred as credit towards an alternative service.

COMPANY INFORMATION
Owner Full Name *

First NameLast NameSuffix
Additional Owner?*

YesNo
Co-Owner Full Name (please use this if you have multiple members)*
Type NA if it does not apply
Company Address (Please include apt, suite etc)*

Street Address

Suite, Apt, Office #

CityState / Province

Postal / Zip Code
Mailing Address different than company address?*

YesNo
MAILING Address (if different from company address)*

Street Address

Suite, Apt, Office #

CityState / Province

Postal / Zip Code
Company Legal Name*
Please include LLC, LP, Corp etc. Business name should reflect name on business formation documents.
Upload your company formation certificate/document*

This insures we accurately match your company name on authority documents. UPLOAD BLANK PAGE IF NO FORMATION CERTIFICATE
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Company Email*
example@example.com
Company Contact Number*
Please enter a valid phone number.
Owner Contact Number*
Please enter a valid phone number.
Company Information (Type NA if it doesn't apply)*

USDOT NumberMC NumberCompany EINCompany DUNS #

TRUCK INFORMATION

Truck information is required for IRP and IFTA applications.
Truck VIN Number*
Truck Year, Make, & Model*
Truck Licence Plate*
Truck Unit Number*
Truck GVW (Max Loaded Gross Vehicle Weight in Pounds)**
Unladen Weight (Unloaded Truck Only)*
More than one truck?*

YesNo
Provide ALL information requested above for each truck below:*
Upload Truck Registration - this ensures we are providing accurate information on application and avoid back and forth of this information from you.*

If you do not have registration, upload BLANK document.
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TRAILER INFORMATION

Trailer information may be required for IRP or IFTA applications.
Trailer VIN Number*
Trailer Year, Make, & Model*
Trailer Licence Plate*
Trailer Unit Number*
Number of Trailer Axles*
More than one trailer?*

YesNo
Provide ALL information requested above for each trailer below:*
Upload Trailer Registration - this ensures we are providing accurate information on application and avoid back and forth of this information from you.*

If you do not have registration, upload BLANK document.
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Additional Trailer Year, Make, & Model(s)*
TYPE NA IF DOESN'T APPLY
Additional Trailer VIN Number (Type NA if doesn't apply)*
TYPE NA IF DOESN'T APPLY
Additional Truck VIN Number (Type NA if doesn't apply)*
TYPE NA IF DOESN'T APPLY
Additional Truck Licence Plate*
TYPE NA IF DOESN'T APPLY
Additional Truck Year, Make, & Model(s)*
TYPE NA IF DOESN'T APPLY

AGREEMENTS & CONSENT OF SERVICES

The following agreements are necessary to conduct chosen services on your behalf. Contact us if you have any questions about agreements or consents below.
SERVICES AGREEMENT & LIMITED POWER OF ATTORNEY
Client First Name* Client Last Name* Your Company Name* Authorizes STL Consulting Group for the following limited and special purposes to act as my (our) agent and Attorney-In-Fact for the purpose of signing one of the following types of documents:

To obtain and file applications for establishing entities, LLC’s and EIN.
To obtain and file applications for registrations of the above listed carrier with federal agencies.

To file applications to secure permits, pay fees and discuss relative matters with state agencies, specifically weight distances for KY, NM, NY, and OR.
To file applications for changes to business information, such as name, address, equipment, etc.

The limited Power of Attorney is restricted and limited to the matters specifically set forth herein and for the term beginning and continuing until the Grantor (client) or the Grantee (agent or attorney-in-fact) terminates this Limited Power of Attorney at any time. Limited Power of Attorney is not assignable or transferable.

Other than as specifically provided herein, unequivocally no other authority, power or capacity of any kind or nature is, or is intended to be granted here under.
PRE-EMPLOYMENT SCREENING PROGRAM (PSP) CONSENT
I authorize STL Consulting Group to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee. I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report.
MOTOR VEHICLE REPORT (MVR) CONSENT
Client First Name* Client Last Name* Authorizes STL Consulting Group to conduct a Motor Vehicle Report as part of a pre-employment screening for Your Company Name* . I understand that the information included in the MVR will determine if I am offered a position with the above mentioned company. I certify that all information provided is accurate to the best of my knowledge.
Signature* Date*
AGREEMENTS & CONSENT OF SERVICES

By submitting you agree to be charged for the above services. The fees listed are for STL Consulting Group services. You MAY still be responsible for any government and/or state fees related to these filings. STL Consulting Group will ensure to contact you if this is the case or additional government fees apply to your situation.

Client understands and acknowledges they are responsible for providing STL Consulting Group the required documentation needed to render services in a timely manner. STL Consulting Group cannot be held liable for missed deadlines, late fees, or suspended licenses/registrations due to clients negligence. Clinets are responsible for responding to phone/text communication and check their emails for updates and outstanding task
Signature-Please make signature legible to read*

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Your First Name* Your Last Name* Date*
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Compliance Order Request

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COMPANY INFORMATION

AGREEMENTS & CONSENT OF SERVICES