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M-936MDC (6-09) www.dot.state.pa.us APPLICATION - MANUFACTURER/ DESIGNER CERTIFICATION Click to Print Application ID#: Manufacturer / Designer Information: (PLEASE PRINT) Manufacturer/Designer?s Name:.

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How to fill out the Application - Manufacturer/ Designer Certification online

Filling out the Application - Manufacturer/ Designer Certification is a crucial step for manufacturers and designers seeking to transport oversized loads. This guide provides clear, step-by-step instructions to assist users in completing the application accurately and efficiently online.

Follow the steps to successfully complete the application online:

  1. Press the ‘Get Form’ button to access the Application - Manufacturer/ Designer Certification. This will allow you to retrieve the form and open it in your online document editor.
  2. Begin by providing the manufacturer or designer’s information. Fill in the name clearly in the designated field. Next, enter the street address, city, state, and zip code without any abbreviations.
  3. Identify the authorized contact person for this application by entering their name and title. Provide a valid phone number, fax number if available, and their email address to ensure effective communication.
  4. Select the appropriate category by checking one of the options: Manufacturer, Designer, or Other. If you choose ‘Other’, please specify and provide a justification.
  5. Describe the load by detailing the load’s characteristics, including weight and maximum dimensions. Fill in the load weight in pounds and specify its length, width, and height in feet and inches.
  6. Indicate the total number of loads you expect to transport within the next 12 months. Specify the anticipated transport date range by indicating the start and end dates.
  7. List any parts that weigh more than 500 lbs. which will be removed during transport. Make sure to provide a comprehensive description.
  8. If the origin location is the same as the manufacturer/designer address, simply write ‘SAME.’ Otherwise, fill in the company name, street address, city, and state for the origin.
  9. Next, enter the destination details, including either the company name and address or project site, along with the corresponding phone and fax numbers.
  10. Read the certification statement carefully and ensure that the statement regarding the load’s manufacturing feasibility is accurately filled. An authorized contact person must sign and date the application.
  11. Once all fields are complete, make sure to review your entries for accuracy. You can then save changes, download, print, or share the form as required.

Complete your Application - Manufacturer/ Designer Certification online today to ensure efficient processing of your oversized load transport permissions.

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CA FTB 3864 2018 CT OR-149 2019 CT DoR 472 2021 CT CT-8857 2018

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