New IRP Application

The Financial Integrity Group
410 East Taylor St Suite G
Griffin, GA 77002
https://www.tfig.org/
registration@tfig.org
Office: 770.233.9014
Fax: 770.228.4242

Name*

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Company Name

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Email*

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Physical Address*

Street Address

Street Address Line 2

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Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Operation Classification*

Federal Identification Number*

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US DOT Number (If running under your own active authority)

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MC Number (If running under your own active authority)

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Social Security Number

Gross Vehicle Weight

Truck Purchase Price*

Truck Purchase Date*

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