OVERSIZED/WEIGHT
APPLICATION

Date : Client  :   Contact :
 Time : Address : Phone :  
  Accounts:  
  Email     :    
F.I.D. : ICC :         US DOT : 
Load Description : Make : Model : S/N : # of Pieces :
  Anything manufactured needs Make, Model, and SN (AR & PA require SN or BOL given)
Load Dimensions : Length : Width : Height : Weight :
Overall Dimensions: Length :     Width : Height : Weight :  
  Overhang : Front :  Rear :     
Unit #
Year
Make
Serial Number
Plate
State
Axle
Tractor
Exact Dimensions Required Empty Weight : Style : Owned Leased Hauling Fuel Yes No
Unit #
Year
Make
Serial Number
Plate
State
Axle
Trailer
Exact Dimensions Required Empty Weight : Style : Length :
Axles and Tires
1
2
3
4
5
6
7
8
9
 
Axle Spacing
Tractor Fuel Type :
Axle Weight
Vendor Type :        
Tire Rating
 
Tire Size
 
Origin (Need full address) Destination (Need full address)
Effective Date(s)
State/Province
All Lanes can route for you