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Get Mi Mdot 4111 2015
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How to fill out the MI MDOT 4111 online
The MI MDOT 4111 form is a Disadvantaged Business Enterprise (DBE) Trucking Lease Agreement used to formalize the leasing of vehicles for DBE credit. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.
Follow the steps to complete the MI MDOT 4111 form online.
- Click the ‘Get Form’ button to access the form online and open it in the editor.
- Complete the 'Lessee' section by providing the name of the DBE firm that is leasing the vehicle. Ensure accurate details to avoid delays.
- In the DBE Contact Person(s) section, include the name(s) of the person(s) to contact regarding this lease.
- Fill out the address, city, state, and ZIP code in the specified fields to provide location information for the Lessee.
- Enter the phone number and email address for the Lessee, ensuring that this information is current and accessible.
- Provide the name of the Lessor, the firm that owns the vehicle. This is essential for verification.
- Similar to the Lessee section, include contact person(s) details for the Lessor including their address, city, state, and ZIP code.
- Input the phone number and email address for the Lessor to facilitate communication.
- Indicate whether the Lessor is a supplier of products used on federally-assisted projects by selecting 'Yes' or 'No' and providing details if applicable.
- For each tractor and trailer involved, complete the fields for unit number, year, make, type, last six digits of VIN, and plate number.
- Specify the effective date of the lease agreement and select one expiration option, providing the due date or conditions for expiration.
- Detail the compensation structure, indicating whether it's a percentage of revenues, per mile rate, or flat charge.
- Acknowledge the conditions of the lease regarding vehicle operation, ensuring compliance with federal regulations.
- The Lessor must certify the operational status of the leased vehicles according to state and federal mandates.
- Once all fields are completed, ensure to have both the Lessee and Lessor sign and date the agreement to make it official.
- After completing the form, you may save your changes, download a copy for record-keeping, print it for your files, or share it as required.
Complete your MI MDOT 4111 form online today to ensure compliance and receive DBE credit.
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