Texas DOT Number | Get Your TXDMV#

Carrier Info Confirm Your Official Representative
Vehicle Details Number of Registered Vehicles
Questionnaire Additional Carrier Info
Payment Info Pay to Complete Registration

Carrier Information

Step 1 - 4

Name of person filing (First & Last)*

Your USDOT*

Email Address*

Business Phone Number*

Mobile* is the Same as Business Phone.

Carrier Information -

DBA - | EIN -

Physical Address

Mailing Address is the Same as Physical Address

Mailing Address*

Vehicle Details

Step 2 - 4

VIN*

Unit#*

Vehicle Year*

Make*

Model*

No.	YEAR, Make & Model	VIN	Unit#	Action
START ADDING VEHICLES
Total Cost:

Additional Info - Questionnaire

Step 3 - 4

Do you have another Motor Carrier Certificate (also known as a TxDMV or TxDOT Number) registered with this company now or in the past?

Yes

TxDMV Number*

Have you ever had an unsatisfactory rating from a compliance review or Entrant Audit from the Texas Department of Public Safety?

Yes

USDOT Number*

TxDMV Number*

Has the Texas Department of Public Safety issued you an active Cease and Desist Order?

Yes

Do you have a family member who is also a motor carrier?

Yes

USDOT Number*

Company Name*

Relation*

TxDMV Number*

Do you have any outstanding penalties owed to the TxDMV?

Yes

Do you farm?

Yes

Do you carry less than 26k lbs of Household Goods?

Yes

Are mandated drug tests performed on your drivers?

Yes

Does your company perform drug tests in-house or do you outsource them to a third-party testing facility?

Own Drug Test

Third Party Company

Do you have the minimum insurance coverage amount for every vehicle in your fleet?

Yes

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Payment Information

Order Details

Vehicle Total	:

Details	Total

Each Additional Vehicle - $/vehicle	$
Commodity Hauler - $20/vehicle	$
Household Goods Hauler	$125

Total Cost	:

Billing Address

New Billing Address

Billing Address Same as Physical Address

Billing Address Same as Mailing Address

Street*

City*

State*

Zipcode*

I certify that I am the authorized holder and signer of the credit card referenced above. I certify that all information above is complete and accurate.

I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the “TOTAL COST” field. I understand this is only for up to this amount on the date listed below in the "DATE SIGNED" field. If additional charges are going to be authorized a new form will have to be completed.

The “TOTAL COST” includes all Federal, State and Local Government fees.

I hereby, acknowledge and agree that after the charges are authorized a DOT Operating Authority agent is assigned in 15 minutes to run the order. Once the agent is assigned the charges become non-refundable.

I understand that the information input is correct to my knowledge. Submitting false information could result in penalties and fines. It is a federal crime to submit false information in an attempt to commit fraud.

I agree with the Terms and Conditions
I agree to receive reminders by text to file my renewal for this filing.

Name of person signing

Title

Official Representative

Date signed

11/21/2024

Signature

Canvas is not supported.

Texas Motor Carrier Authority Application Form