Insured has another DOT number?
Are there any other DOT numbers?
Total Radius Allocation: 0%
Optional Coverages
Do you wish to list any terminals?
Cargo coverage cancelled or non-renewed in the past 3 years?
Bankruptcy within the past 3 years?
Authority under different name in past 3 years?
Provide details for the past five years.
Outline how equipment is secured in transit and while parked.
1. Are vehicles ever left loaded and unattended?
2. Does applicant ever leave loaded trailers detached from power units?
3. What security is provided for loaded vehicles? (check all that apply)
At locations
In transit
Worksheet