MC/DOT (#23)

Broker Authority Questionnaire

To receive your MC Number and DOT Number

Note: Please fill out Completely and Accurately to ensure no delays or change fees on your issued Broker MC/DOT Numbers.

OWNER(S)/ COMPANY OFFICER(S) INFORMATION

Owner 1:

Owner’s Name

Phone/Mobile

Owner’s Title

Owner Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Are you a US Citizen? (If NO select country below)

Yes

Country

Owner #2

Owner #2 Name

Phone/Mobile

Owner’s Title

Owner #2 Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Are you a US Citizen? (If NO select country below)

Country

Final Questions

A general freight broker is a type of logistics professional who arranges the transportation of a variety of goods and products for businesses or individuals. They typically work with multiple carriers to find the most efficient and cost-effective shipping solution for their clients.

On the other hand, a household goods broker specializes in arranging the transportation of household goods and personal items for individuals or families who are moving from one home to another. They work with carriers that specialize in moving household goods, such as furniture, appliances, and personal belongings.

While both types of brokers may arrange the transportation of goods, their focus and expertise differ. General freight brokers have a wider range of products and industries they work with, while household goods brokers have a specialized focus on moving personal belongings for individuals and families.

What will you be brokering?

Have you ever had a MC/DOT or been associated with one in the past 3 yrs?

Yes

If Yes, then what was the MC/DOT Number?

Will you operate both Interstate and Intrastate Authority?

Yes

Will you handle Hazardous Materials?

Yes

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COURSES

FMCSA

Broker Authority Questionnaire

To receive your MC Number and DOT Number

Company Information

OWNER(S)/ COMPANY OFFICER(S) INFORMATION

Final Questions