DOT Number Cancellation
Complete this MCS-150 Out of Business Notification order form to CANCEL your US DOT Number if you no longer operate vehicle that: has a gross combination weight rating 10,001 pounds or more; or is designed or used to transport more than 8 passengers (including the driver) for compensation; or is designed or used to transport more than 15 passengers, including the driver, and is not used to transport passengers for compensation.
BUSINESS INFORMATION
1. LEGAL BUSINESS NAME:
*
DOING BUSINESS AS NAME
USDOT NUMBER
*
PHONE NUMBER
*
Format: (000) 000-0000.
E-MAIL ADDRESS:
*
PRINCIPAL PLACE OF BUSINESS:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
MAILING ADDRESS:
*
Same as Principal Address
Mailing Address is Different
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Terms and Conditions
*
Name
*
First Name
Last Name
Title
*
Signature
*
Date
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Month
-
Day
Year
Additional Comments (optional)
Should be Empty: