MC# REINSTATEMENT

MC# REINSTATEMENT APPLICATION

FMCSA Authority Reinstatement is for MC or FF Numbers that are currently in a NOT AUTHORIZED status with the FMCSA.
Status
Folder name
Date

MonthDayYear
Date
AUTHORITY TYPE
What is the authority type you want to reinstate?*
Would you like to add?
COMPANY INFORMATION
Name*

First NameLast Name
Position in Company*
Legal Company Name*
DBA Name
If applicable
Email*
example@example.com
Phone Number*
DOT Number*
MC Number
Company Physical Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Is your Mailing Address same as Physical Address?
Company Mailing Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
SIGNATURE
E-Signature*
Notes
PAYMENT INFORMATION

MC# Reinstatement Application Fee$150.00

Total $0.00