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Get MO DOT B-1R 2019-2024

FORM 2019 APPLICATION FOR ANNUAL OR TEMPORARY CREDENTIALS SECTION 1. GENERAL INFORMATION USDOT NO. FEIN/SSN NAME OF CARRIER DOING BUSINESS AS (DBA) NAME PRINCIPAL PLACE OF BUSINESS ADDRESS (not a PO Box) – STREET CITY STATE ZIP CODE MAILING ADDRESS (if different than Principal Address, may be a PO Box) – STREET CITY STATE ZIP CODE PERSON TO CONTACT CONTACT PHONE NO. FAX NO. E-MAIL ADDRESS SECTION 2. DECAL REQUEST Number Fee Amount Due Decal Type $10.00 Intrastate Passenger.

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