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KENTUCKY TRUCKING APPLICATION

KENTUCKY TRANSPORTATION CABINET Department of Vehicle Regulation DIVISION OF MOTOR CARRIERS TC 95 110/2016 Page 1 of 8 KENTUCKY TRUCKING APPLICATION Mail To: KENTUCKY Transportation Cabinet Division of Motor Carriers PO Box 2007 Frankfort, KY 40602-2007 502-564-1257 (8:00 am - 4:30 pm est.)Overnight Deliveries: KENTUCKY Transportation Cabinet Division of Motor Carriers 200 Mero Street, 2nd floor Frankfort, KY 40622 Walk-ins (8:00 am 4:00 pm est.) Instructions: (Read instructions and use the checklist below before submitting an APPLICATION ) Type or print legibly and read all information carefully NOTE: Original APPLICATION Accepted by Mail Only Please ensure that all federal and state licenses and/or credentials are active before submitting an APPLICATION Data requested below must match the (FMCSA) Federal Motor Carrier Safety Administration s data or the APPLICATION will be returned Incomplete applications will be s

Intrastate Kentucky-Based For-Hire Carriers that pick up and deliver the same cargo within Kentucky only complete this section: This certificate will require a $25.00 fee, a $10.00 per vehicle fee, and an original Form E insurance filing from your insurance company. Total number of vehicle(s) to be operated under this authority: x $10.00 = $

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