Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to obtain the form and open it in your browser.
2. Fill out the applicant's legal name and carrier name section. Ensure the information provided is accurate and reflects your business details.
3. Enter your USDOT or GA DOT number along with your business address, including city, county, state, and zip code.
4. Provide your email address and phone numbers for communication purposes. Ensure these are valid and up-to-date.
5. Indicate your citizenship status by selecting ‘Yes’ or ‘No’. If ‘No’, be prepared to submit supporting federal documentation.
6. Complete the applicant representative's information. If you are representing yourself, write your name and address here.
7. In Section One, specify your organization type (individual, corporation, partnership, or LLC) and provide relevant details as required.
8. List the names and addresses of all officers if your application is for a corporation, and ensure all required documents are attached.
9. Indicate the number of vehicles owned or permanently leased, specifying vehicle types and sizes as outlined on the form.
10. Fill in Section Two regarding the proposed service, answering questions about your service readiness and confirming compliance with the DPS’s regulations.
11. In Section Three, present your financial statement by attaching your most recent balance sheet and income statement or equivalent personal assets documentation.
12. Complete the history section, confirming your knowledge of the tariff and regulations, and declare any past business practices if applicable.
13. Sign the application in the designated area, ensuring that it is notarized correctly. Use blue ink as specified.
14. Save your changes to the completed form and choose to download, print, or share it as needed. Ensure you have made copies of any attached documents.

Complete your documents online today to ensure a smooth application process.