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Submitted URL: https://autodotdat.com/
Effective URL: https://www.dotdat.us/?page_id=562
Submission: On June 09 via api from US — Scanned from DE
Effective URL: https://www.dotdat.us/?page_id=562
Submission: On June 09 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /?page_id=562
<form method="post" enctype="multipart/form-data" id="gform_1" action="/?page_id=562" data-formid="1" novalidate="">
<div class="gform-body gform_body">
<div id="gform_fields_1" class="gform_fields top_label form_sublabel_above description_above validation_below">
<fieldset id="field_1_7" class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_7">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Your Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_1_7">
<span id="input_1_7_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<label for="input_1_7_3" class="gform-field-label gform-field-label--type-sub ">First</label>
<input type="text" name="input_7.3" id="input_1_7_3" value="" aria-required="true" placeholder="First" autocomplete="given-name">
</span>
<span id="input_1_7_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<label for="input_1_7_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
<input type="text" name="input_7.6" id="input_1_7_6" value="" aria-required="true" placeholder="Last" autocomplete="family-name">
</span>
</div>
</fieldset>
<div id="field_1_55" class="gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_1_55"><label class="gfield_label gform-field-label" for="input_1_55">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_55" id="input_1_55" type="email" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_1_56" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_1_56"><label class="gfield_label gform-field-label" for="input_1_56">Phone<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_56" id="input_1_56" type="tel" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_1_19" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_19"><label class="gfield_label gform-field-label" for="input_1_19">USDOT Number<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_19" id="input_1_19" type="text" value="" class="large" placeholder="USDOT #" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_20" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_20">
<label class="gfield_label gform-field-label" for="input_1_20">MC Number</label>
<div class="ginput_container ginput_container_text"><input name="input_20" id="input_1_20" type="text" value="" class="large" placeholder="MC #" aria-invalid="false"> </div>
</div>
<div id="field_1_21" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_21"><label class="gfield_label gform-field-label" for="input_1_21">Legal Business Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_21" id="input_1_21" type="text" value="" class="large" placeholder="Legal Business Name" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_22" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_22">
<label class="gfield_label gform-field-label" for="input_1_22">DBA Name</label>
<div class="ginput_container ginput_container_text"><input name="input_22" id="input_1_22" type="text" value="" class="large" placeholder="DBA Name" aria-invalid="false"> </div>
</div>
<div id="field_1_23" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_23"><label class="gfield_label gform-field-label" for="input_1_23">Tax ID / EIN / or SSN<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_23" id="input_1_23" type="text" value="" class="large" placeholder="Tax ID / EIN / SSN" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_24" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_24">
<label class="gfield_label gform-field-label" for="input_1_24">USDOT PIN #</label>
<div class="ginput_container ginput_container_text"><input name="input_24" id="input_1_24" type="text" value="" class="large" placeholder="USDOT PIN #" aria-invalid="false"> </div>
</div>
<fieldset id="field_1_28" class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_28">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Owner's Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_1_28">
<span id="input_1_28_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<label for="input_1_28_3" class="gform-field-label gform-field-label--type-sub ">First</label>
<input type="text" name="input_28.3" id="input_1_28_3" value="" aria-required="true" placeholder="First">
</span>
<span id="input_1_28_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<label for="input_1_28_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
<input type="text" name="input_28.6" id="input_1_28_6" value="" aria-required="true" placeholder="Last">
</span>
</div>
</fieldset>
<fieldset id="field_1_14"
class="gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_14">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Physical Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row" id="input_1_14">
<span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_1_14_1_container">
<label for="input_1_14_1" id="input_1_14_1_label" class="gform-field-label gform-field-label--type-sub ">Street Address</label>
<input type="text" name="input_14.1" id="input_1_14_1" value="" aria-required="true" autocomplete="address-line1">
</span><span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_1_14_3_container">
<label for="input_1_14_3" id="input_1_14_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
<input type="text" name="input_14.3" id="input_1_14_3" value="" aria-required="true" autocomplete="address-level2">
</span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_1_14_4_container">
<label for="input_1_14_4" id="input_1_14_4_label" class="gform-field-label gform-field-label--type-sub ">State / Province / Region</label>
<input type="text" name="input_14.4" id="input_1_14_4" value="" aria-required="true" autocomplete="address-level1">
</span><span class="ginput_left address_zip ginput_address_zip gform-grid-col" id="input_1_14_5_container">
<label for="input_1_14_5" id="input_1_14_5_label" class="gform-field-label gform-field-label--type-sub ">ZIP / Postal Code</label>
<input type="text" name="input_14.5" id="input_1_14_5" value="" aria-required="true" autocomplete="postal-code">
</span><span class="ginput_right address_country ginput_address_country gform-grid-col" id="input_1_14_6_container">
<label for="input_1_14_6" id="input_1_14_6_label" class="gform-field-label gform-field-label--type-sub ">Country</label>
<select name="input_14.6" id="input_1_14_6" aria-required="true" autocomplete="country-name">
<option value=""></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Eswatini">Eswatini</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Macedonia">North Macedonia</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria Arab Republic">Syria Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, the United Republic of">Tanzania, the United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Türkiye">Türkiye</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States" selected="selected">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
</select>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<fieldset id="field_1_26"
class="gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_26">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Billing / Mailing Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div id="input_1_26_copy_values_option_container" class="copy_values_option_container">
<input type="checkbox" id="input_1_26_copy_values_activated" class="copy_values_activated" value="1" data-source_field_id="14" name="input_26_copy_values_activated">
<label for="input_1_26_copy_values_activated" id="input_1_26_copy_values_option_label" class="copy_values_option_label inline gform-field-label gform-field-label--type-inline">Same as previous</label>
</div>
<div class="ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row" id="input_1_26">
<span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_1_26_1_container">
<label for="input_1_26_1" id="input_1_26_1_label" class="gform-field-label gform-field-label--type-sub ">Street Address</label>
<input type="text" name="input_26.1" id="input_1_26_1" value="" aria-required="true" autocomplete="address-line1">
</span><span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_1_26_3_container">
<label for="input_1_26_3" id="input_1_26_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
<input type="text" name="input_26.3" id="input_1_26_3" value="" aria-required="true" autocomplete="address-level2">
</span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_1_26_4_container">
<label for="input_1_26_4" id="input_1_26_4_label" class="gform-field-label gform-field-label--type-sub ">State / Province / Region</label>
<input type="text" name="input_26.4" id="input_1_26_4" value="" aria-required="true" autocomplete="address-level1">
</span><span class="ginput_left address_zip ginput_address_zip gform-grid-col" id="input_1_26_5_container">
<label for="input_1_26_5" id="input_1_26_5_label" class="gform-field-label gform-field-label--type-sub ">ZIP / Postal Code</label>
<input type="text" name="input_26.5" id="input_1_26_5" value="" aria-required="true" autocomplete="postal-code">
</span><span class="ginput_right address_country ginput_address_country gform-grid-col" id="input_1_26_6_container">
<label for="input_1_26_6" id="input_1_26_6_label" class="gform-field-label gform-field-label--type-sub ">Country</label>
<select name="input_26.6" id="input_1_26_6" aria-required="true" autocomplete="country-name">
<option value=""></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Eswatini">Eswatini</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Macedonia">North Macedonia</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria Arab Republic">Syria Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, the United Republic of">Tanzania, the United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Türkiye">Türkiye</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States" selected="selected">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
</select>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<div id="field_1_53" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_1_53"><label class="gfield_label gform-field-label" for="input_1_53">Previous Year Mileage<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_53" id="input_1_53" type="text" value="" class="large" placeholder="Approx. Mileage" aria-required="true" aria-invalid="false"> </div>
</div>
<fieldset id="field_1_33" class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_33">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Number of Vehicles<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_1_33">
<span id="input_1_33_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<label for="input_1_33_3" class="gform-field-label gform-field-label--type-sub ">> 10,000 LBS GVWR</label>
<input type="text" name="input_33.3" id="input_1_33_3" value="" aria-required="true" placeholder="# of Vehicles">
</span>
<span id="input_1_33_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<label for="input_1_33_6" class="gform-field-label gform-field-label--type-sub ">> 26,000 LBS GVWR</label>
<input type="text" name="input_33.6" id="input_1_33_6" value="" aria-required="true" placeholder="# of Vehicles">
</span>
</div>
</fieldset>
<fieldset id="field_1_35" class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_35">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Number of Drivers<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_1_35">
<span id="input_1_35_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<label for="input_1_35_3" class="gform-field-label gform-field-label--type-sub ">NON-CDL</label>
<input type="text" name="input_35.3" id="input_1_35_3" value="" aria-required="true" placeholder="# of Drivers">
</span>
<span id="input_1_35_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<label for="input_1_35_6" class="gform-field-label gform-field-label--type-sub ">CDL</label>
<input type="text" name="input_35.6" id="input_1_35_6" value="" aria-required="true" placeholder="# of Drivers">
</span>
</div>
</fieldset>
<div id="field_1_40" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_40"><label class="gfield_label gform-field-label" for="input_1_40">Please list any changes, leave blank if none.</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_40" id="input_1_40" class="textarea small" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<fieldset id="field_1_41"
class="gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-half gfield_price gfield_price_1_41 gfield_product_1_41 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_1_41">
<legend class="gfield_label gform-field-label">Filing Options<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_1_41">
<div class="gchoice gchoice_1_41_0">
<input class="gfield-choice-input" name="input_41" type="radio" value="One-Time Update (2 Years) - $269|269" id="choice_1_41_0" onchange="gformToggleRadioOther( this )">
<label for="choice_1_41_0" id="label_1_41_0" class="gform-field-label gform-field-label--type-inline">One-Time Update (2 Years) - $269</label>
</div>
<div class="gchoice gchoice_1_41_1">
<input class="gfield-choice-input" name="input_41" type="radio" value="Extended Management Plan (6 Years) - $579|579" id="choice_1_41_1" onchange="gformToggleRadioOther( this )">
<label for="choice_1_41_1" id="label_1_41_1" class="gform-field-label gform-field-label--type-inline">Extended Management Plan (6 Years) - $579</label>
</div>
<div class="gchoice gchoice_1_41_2">
<input class="gfield-choice-input" name="input_41" type="radio" value="Out of Business Notification - $ 99|99" id="choice_1_41_2" onchange="gformToggleRadioOther( this )">
<label for="choice_1_41_2" id="label_1_41_2" class="gform-field-label gform-field-label--type-inline">Out of Business Notification - $ 99</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_1_58"
class="gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-half gfield_price gfield_price_1_58 gfield_product_1_58 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_1_58">
<legend class="gfield_label gform-field-label">Would you like us use this information to file the Beneficiary Ownership Information Report (BOIR) for this company?<span class="gfield_required"><span
class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_1_58">
<div class="gchoice gchoice_1_58_0">
<input class="gfield-choice-input" name="input_58" type="radio" value="Yes +$179|179" id="choice_1_58_0" onchange="gformToggleRadioOther( this )">
<label for="choice_1_58_0" id="label_1_58_0" class="gform-field-label gform-field-label--type-inline">Yes +$179</label>
</div>
<div class="gchoice gchoice_1_58_1">
<input class="gfield-choice-input" name="input_58" type="radio" value="No|0" checked="checked" id="choice_1_58_1" onchange="gformToggleRadioOther( this )">
<label for="choice_1_58_1" id="label_1_58_1" class="gform-field-label gform-field-label--type-inline">No</label>
</div>
</div>
</div>
</fieldset>
<div id="field_1_3"
class="gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_1_ gfield_total gfield_total_1_ field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
aria-atomic="true" aria-live="polite" data-js-reload="field_1_3"><label class="gfield_label gform-field-label" for="input_1_3">Payment Due</label>
<div class="ginput_container ginput_container_total">
<input type="text" readonly="" name="input_3" id="input_1_3" value="$0.00" class="gform-text-input-reset ginput_total ginput_total_1">
</div>
</div>
<div id="field_1_57"
class="gfield gfield--type-stripe_creditcard gfield--input-type-stripe_creditcard gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-payment-element"
data-js-reload="field_1_57"><label class="gfield_label gfield_label_before_complex gform-field-label" for="input_1_57_1">Payment<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row" id="input_1_57">
<div class="ginput_full gform-grid-col" id="input_1_57_1_container" data-payment-element="true">
<div id="input_1_57_1" class="StripeElement--payment-element StripeElement">
<div class="__PrivateStripeElement"
style="margin: -4px 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important; clear: both !important; transition: height 0.35s ease 0s !important;">
<iframe name="__privateStripeFrame4314" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *; publickey-credentials-get *"
src="https://js.stripe.com/v3/elements-inner-payment-86bc25f0f240f3a935c9fd7e775ef9d0.html#wait=false&rtl=false&componentName=payment&keyMode=live&apiKey=pk_live_51MgzBPGJzqHHXWCNnAQP2gCwA2a8wId2RBacKKRoM10a9c6SPYJt1mnNOxspHNwXqPOmbLzZelSedu1AO2CPLBBt00qZCOaPQb&referrer=https%3A%2F%2Fwww.dotdat.us%2F%3Fpage_id%3D562&controllerId=__privateStripeController4311"
title="Secure payment input frame"
style="border: 0px !important; margin: -4px; padding: 0px !important; width: calc(100% + 8px); min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 150.969px; opacity: 1; transition: opacity 0.4s ease 0.1s;"></iframe>
</div>
</div>
</div><!-- .ginput_full -->
</div><!-- .ginput_container -->
<style type="text/css">
:root {
--link-login-string: "Link login"
}
</style>
</div>
<div id="field_1_54"
class="gfield gfield--type-signature gfield--input-type-signature gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_1_54"><label class="gfield_label gform-field-label" for="input_1_54">Business Owner's eSignature<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="gfield_signature_ui_container gform-theme__no-reset--children">
<div id="input_1_54_Container" class="gfield_signature_container ginput_container" style="height: 180px; z-index: 99; width: 550px;"><input type="hidden" class="gform_hidden" name="input_1_54_valid" id="input_1_54_valid"><canvas
id="input_1_54" width="550" height="180"
style="border-width: 2px; border-style: dashed; border-color: rgb(221, 221, 221); background-color: rgb(255, 255, 255); cursor: url("https://www.dotdat.us/wp-content/plugins/gravityformssignature/includes/super_signature/pen.cur"), pointer; height: 180px; width: 550px;"></canvas>
</div>
<div id="input_1_54_toolbar" style="margin: 5px; position: relative; height: 20px; background-color: transparent; width: 550px;"><img id="input_1_54_resetbutton"
src="https://www.dotdat.us/wp-content/plugins/gravityformssignature/includes/super_signature/refresh.png" style="cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent" alt="Clear Signature">
<div id="input_1_54_status" style="color: blue; height: 20px; width: auto; padding: 2px; font-family: verdana; font-size: 12px; float: left; margin-right: 30px; display: none;"></div><input type="hidden" id="input_1_54_data"
name="input_1_54_data" value=""><input type="hidden" id="input_1_54_data_smooth" name="input_1_54_data_smooth" value=""><input type="hidden" id="input_1_54_data_canvas" name="input_1_54_data_canvas" value=""><button type="button"
id="input_1_54_lockedReset" class="gform_signature_locked_reset gform-theme-no-framework"
style="color: var(--gform-theme-control-description-color);display:none;height:24px;cursor:pointer;padding: 0 0 0 1.8em;opacity:0.75;font-size:0.813em;border:0;background: transparent url(data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZpZXdCb3g9IjAgMCA0NDggNTEyIiBjbGFzcz0idW5kZWZpbmVkIj48cGF0aCBkPSJNNDAwIDIyNGgtMjR2LTcyQzM3NiA2OC4yIDMwNy44IDAgMjI0IDBTNzIgNjguMiA3MiAxNTJ2NzJINDhjLTI2LjUgMC00OCAyMS41LTQ4IDQ4djE5MmMwIDI2LjUgMjEuNSA0OCA0OCA0OGgzNTJjMjYuNSAwIDQ4LTIxLjUgNDgtNDhWMjcyYzAtMjYuNS0yMS41LTQ4LTQ4LTQ4em0tMTA0IDBIMTUydi03MmMwLTM5LjcgMzIuMy03MiA3Mi03MnM3MiAzMi4zIDcyIDcydjcyeiIgY2xhc3M9InVuZGVmaW5lZCIvPjwvc3ZnPg==) no-repeat left center;background-size:16px;float:left;direction:ltr;">Reset
to re-sign.</button>
</div>
</div>
</div>
<div id="field_1_45"
class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_1_45"><label class="gfield_label gform-field-label" for="input_1_45">Please provide a clear legible photo of the business owner’s ID for verification<span class="gfield_required"><span
class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_fileupload"><input type="hidden" name="MAX_FILE_SIZE" value="536870912"><input name="input_45" id="input_1_45" type="file" class="large" aria-describedby="gfield_upload_rules_1_45"
onchange="javascript:gformValidateFileSize( this, 536870912 );"><span class="gfield_description gform_fileupload_rules" id="gfield_upload_rules_1_45">Max. file size: 512 MB.</span>
<div class="gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty" id="live_validation_message_1_45"></div>
</div>
</div>
<fieldset id="field_1_47"
class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_47">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Terms & Conditions<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_consent"><input name="input_47.1" id="input_1_47_1" type="checkbox" value="1" aria-describedby="gfield_consent_description_1_47" aria-required="true" aria-invalid="false"> <label
class="gform-field-label gform-field-label--type-inline gfield_consent_label" for="input_1_47_1">I agree to the <a href="https://www.dotdat.us/?page_id=853"> Terms and Conditions</a></label><input type="hidden" name="input_47.2"
value="I agree to the <a href="https://www.dotdat.us/?page_id=853"> Terms and Conditions</a>" class="gform_hidden"><input type="hidden" name="input_47.3" value="40" class="gform_hidden"></div>
<div class="gfield_description gfield_consent_description" id="gfield_consent_description_1_47">Effective Date: 05/30/2024<br>
<br> Welcome to DOTDAT.us<br>
<br> Introduction to Terms & Conditions<br>
<br> This document outlines the terms and conditions (referred to as “Terms & Conditions”) that govern your interaction with DOTDAT® and forms a binding agreement.<br>
<br> Definitions<br>
<br> “DOTDAT” refers to DOTDAT®, including all existing and future subsidiaries and affiliates. “Services” include this website and all related content, applications, features, functionality, information, and services provided. The terms
“user,” “you,” and “your” refer to anyone who utilizes the Services in accordance with these Terms & Conditions.<br>
<br> Binding Agreement<br>
<br> By accessing, using, or otherwise agreeing to these Terms & Conditions, whether as an individual or entity, you enter into a legally binding contract with DOTDAT®. It is essential that you read these Terms & Conditions
carefully before engaging with the Services. Any breach or non-acceptance of these Terms & Conditions may result in restricted access to the Services.<br>
<br> Amendments to Terms & Conditions<br>
<br> DOTDAT® reserves the right to modify these Terms & Conditions and/or the Services at any time. Notice of such modifications will be provided via updates on this website or through the Services. The date of the latest update will be
indicated next to “Last Updated.” Continued use of the Services post-modification signifies acceptance of the revised Terms & Conditions.<br>
<br> Mandatory Arbitration Clause<br>
<br> Terms & conditions include a mandatory arbitration clause, necessitating individual arbitration for dispute resolution. This clause precludes jury trials, court proceedings, or class actions of any kind. (see Section 15 for
details).<br>
<br> 1. Licensing<br>
<br> DOTDAT® grants a conditional, non-exclusive, revocable license for website access and use per these Terms & Conditions. This includes a limited license to use the Services to prepare and submit Federal Regulatory Reporting (Report)
and Beneficial Ownership Information Reporting (BOIR), as required by USDOT, FMCSA under 49 CFR, and FinCen under the Corporate Transparency Act.<br>
<br> 2. Report Submission and Accuracy<br>
<br> While DOTDAT® assists in the preparation and submission of reports, acceptance by USDOT/FMCSA/FinCen or compliance with 49 CFR/ the Corporate Transparency Act is not guaranteed. The accuracy of the information provided is the sole
responsibility of the user. DOTDAT® does not independently verify this information. You affirm compliance with all relevant laws, including data privacy laws, and necessary authorizations in sharing personal information through the
Services. DOTDAT® does not offer legal or professional advice. <br>
<br> Submission of a Report implies your authorization to act on behalf of the Subject of the Report. In the event of a submission being declined due to incorrect or mismatched EIN or SSN data as recorded by FMCSA or other governing
bodies:<br>
<br>
<br> Notification of Mismatch: DOTDAT® will inform you via email at the address provided during registration or order placement. It is crucial to address and correct the mismatch to proceed with the submission process.<br>
<br> User Response Requirement: You are required to correct the information and resubmit or update the submission within 30 days of receiving the notification. Failure to update the information within this period may result in the
suspension of the submission process without a refund.<br>
<br> Repeated Failures: If corrections are not made after three notifications, DOTDAT® reserves the right to consider the service complete, and no further action will be taken. This completion does not entitle the user to a refund as the
failure to provide accurate information lies with the user.<br>
<br> Final Attempts and Closure: DOTDAT® will make a final attempt to contact you via phone if the email notifications are not responded to within the stipulated timeframe. If no corrective action is taken within 45 days from the initial
notification, the case will be closed permanently, and the submission will be considered non-compliant due to user inaction.<br>
<br> DOTDAT® does not offer legal or professional advice.<br>
<br>
<br> Accuracy of the provided information is your responsibility, and DOTDAT® does not independently verify this information. You affirm compliance with all relevant laws, including data privacy laws, and necessary authorizations in sharing
personal information through the Services.<br>
<br> Submission of a Report implies your authorization to act on behalf of the Subject of the Report.<br>
<br> 3. Privacy Considerations<br>
<br> Your privacy is of utmost importance. Review our Privacy Policy for details on information collection and usage in the Services. By using our Services, you consent to our practices as described in the Privacy Policy, which is an
integral part of these Terms & Conditions.<br>
<br> 4. Orders and Payments<br>
<br> Service features may be paid and requested through “Order” forms. Orders are subject to change. Acceptance constitutes a payment agreement.<br>
<br> 5. Proprietary Rights<br>
<br> All content on the Services, including trademarks, text, designs, graphics, logos, and other materials, is the property of DOTDAT®, its content providers, or licensors. Your access does not grant any rights to use any proprietary
content. All rights are reserved by DOTDAT® and its licensors. Unauthorized use of the material on the Services, including modification, distribution, or creation of derivative works, is strictly prohibited.<br>
<br> 6. User Communications and Content<br>
<br> User-provided content grants DOTDAT® a non-exclusive license to use. Communications unrelated to report submissions may be used freely by DOTDAT®.<br>
<br> 7. Reporting Unauthorized Content<br>
<br> For content posted without permission, contact us for removal per the Digital Millennium Copyright Act of 1998.<br>
<br> 8.Acceptable Use<br>
<br> You agree not to misuse the Services, which includes restrictions on sharing accounts, using the Services unlawfully, posting inappropriate content, engaging in fraudulent activities, and refraining from using any device or software
that interferes with the Services.<br>
<br> 9. Communication Preferences<br>
<br> You consent to receive communications from us, with preferences manageable via contact.<br>
<br> 10. Refund Policy<br>
<br> All sales through our Services are final. Refunds are issued only for billing errors or undelivered Services.<br>
<br> 11. Limitation of Liability<br>
<br> DOTDAT®'s liability is limited as outlined herein, with no warranties beyond those permitted by law.<br>
<br> 12.No Warranty<br>
<br> The Services are provided “as is” without any warranties. DOTDAT® disclaims all warranties, either express or implied, to the fullest extent permissible under the law.<br>
<br> 13. Indemnification<br>
<br> You agree to indemnify and hold harmless DOTDAT® against all losses, liabilities, and costs arising from your use of the Services, your content, or your violation of these Terms & Conditions or any laws.<br>
<br> 14. Service Outages<br>
<br> DOTDAT® is not liable for any loss or damage resulting from service outages, either planned or unplanned.<br>
<br> 15. Dispute Resolution<br>
<br> -Governing Law: The Terms & Conditions are governed by the laws of the State of Idaho.<br>
<br> -Mandatory Arbitration: Disputes must be resolved through binding arbitration in Idaho, with no jury trials or class actions permitted.<br>
<br> 16. Miscellaneous<br>
<br> These Terms & Conditions, along with our Privacy Policy, constitute the entire agreement between you and DOTDAT®. If any provision is deemed invalid, the remaining provisions stay in effect. All claims related to the Services must
be filed within one year.<br>
<br> 17. Contact Us<br>
<br> For inquiries: notifications@dotdat.us, (986) 210-5427, or PO BOX 45201, Boise, ID 83711.
</div>
</fieldset>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Finalize Submission"
onclick="if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_1"
value="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">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;" class="akismet-fields-container" data-prefix="ak_"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js"
value="1717932168078">
<script>
document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>Text Content
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(986) 210-5427
(986) 210-5427
Main Menu
* Home
* ServicesMenu Toggle
* Operating AuthorityMenu Toggle
* OP-1 Filing
* MC# Authorization
* Biennial UpdatesMenu Toggle
* What is the Deadline?
* MCS-150 Filing
* BOIR FilingMenu Toggle
* BOIR Filing
* Who Needs to File?
* Understanding BOI Reporting Requirements
* UCRMenu Toggle
* Do I need to register?
* UCR Filing
* Private Carriers
* Driver Qualification File Management
* About UsMenu Toggle
* Terms & Conditions
* Privacy Policy
* Contact Us
MCS-150 FORM SUBMISSION
MCS-150
Your Name(Required)
First Last
Email(Required)
Phone(Required)
USDOT Number(Required)
MC Number
Legal Business Name(Required)
DBA Name
Tax ID / EIN / or SSN(Required)
USDOT PIN #
Owner's Name(Required)
First Last
Physical Address(Required)
Street Address City State / Province / Region ZIP / Postal Code Country
AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua
and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish
Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo
VerdeCambodiaCameroonCanadaCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo,
Democratic Republic of theCook IslandsCosta
RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican
RepublicEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHoly SeeHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic
People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State
ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena,
Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint
Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and
PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan
MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United
Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying
IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited
StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin
Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands
Billing / Mailing Address(Required)
Same as previous
Street Address City State / Province / Region ZIP / Postal Code Country
AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua
and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish
Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo
VerdeCambodiaCameroonCanadaCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo,
Democratic Republic of theCook IslandsCosta
RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican
RepublicEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHoly SeeHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic
People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State
ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena,
Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint
Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and
PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan
MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United
Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying
IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited
StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin
Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands
Previous Year Mileage(Required)
Number of Vehicles(Required)
> 10,000 LBS GVWR > 26,000 LBS GVWR
Number of Drivers(Required)
NON-CDL CDL
Please list any changes, leave blank if none.
Filing Options(Required)
One-Time Update (2 Years) - $269
Extended Management Plan (6 Years) - $579
Out of Business Notification - $ 99
Would you like us use this information to file the Beneficiary Ownership
Information Report (BOIR) for this company?(Required)
Yes +$179
No
Payment Due
Payment(Required)
Business Owner's eSignature(Required)
Reset to re-sign.
Please provide a clear legible photo of the business owner’s ID for
verification(Required)
Max. file size: 512 MB.
Terms & Conditions(Required)
I agree to the Terms and Conditions
Effective Date: 05/30/2024
Welcome to DOTDAT.us
Introduction to Terms & Conditions
This document outlines the terms and conditions (referred to as “Terms &
Conditions”) that govern your interaction with DOTDAT® and forms a binding
agreement.
Definitions
“DOTDAT” refers to DOTDAT®, including all existing and future subsidiaries and
affiliates. “Services” include this website and all related content,
applications, features, functionality, information, and services provided. The
terms “user,” “you,” and “your” refer to anyone who utilizes the Services in
accordance with these Terms & Conditions.
Binding Agreement
By accessing, using, or otherwise agreeing to these Terms & Conditions, whether
as an individual or entity, you enter into a legally binding contract with
DOTDAT®. It is essential that you read these Terms & Conditions carefully before
engaging with the Services. Any breach or non-acceptance of these Terms &
Conditions may result in restricted access to the Services.
Amendments to Terms & Conditions
DOTDAT® reserves the right to modify these Terms & Conditions and/or the
Services at any time. Notice of such modifications will be provided via updates
on this website or through the Services. The date of the latest update will be
indicated next to “Last Updated.” Continued use of the Services
post-modification signifies acceptance of the revised Terms & Conditions.
Mandatory Arbitration Clause
Terms & conditions include a mandatory arbitration clause, necessitating
individual arbitration for dispute resolution. This clause precludes jury
trials, court proceedings, or class actions of any kind. (see Section 15 for
details).
1. Licensing
DOTDAT® grants a conditional, non-exclusive, revocable license for website
access and use per these Terms & Conditions. This includes a limited license to
use the Services to prepare and submit Federal Regulatory Reporting (Report) and
Beneficial Ownership Information Reporting (BOIR), as required by USDOT, FMCSA
under 49 CFR, and FinCen under the Corporate Transparency Act.
2. Report Submission and Accuracy
While DOTDAT® assists in the preparation and submission of reports, acceptance
by USDOT/FMCSA/FinCen or compliance with 49 CFR/ the Corporate Transparency Act
is not guaranteed. The accuracy of the information provided is the sole
responsibility of the user. DOTDAT® does not independently verify this
information. You affirm compliance with all relevant laws, including data
privacy laws, and necessary authorizations in sharing personal information
through the Services. DOTDAT® does not offer legal or professional advice.
Submission of a Report implies your authorization to act on behalf of the
Subject of the Report. In the event of a submission being declined due to
incorrect or mismatched EIN or SSN data as recorded by FMCSA or other governing
bodies:
Notification of Mismatch: DOTDAT® will inform you via email at the address
provided during registration or order placement. It is crucial to address and
correct the mismatch to proceed with the submission process.
User Response Requirement: You are required to correct the information and
resubmit or update the submission within 30 days of receiving the notification.
Failure to update the information within this period may result in the
suspension of the submission process without a refund.
Repeated Failures: If corrections are not made after three notifications,
DOTDAT® reserves the right to consider the service complete, and no further
action will be taken. This completion does not entitle the user to a refund as
the failure to provide accurate information lies with the user.
Final Attempts and Closure: DOTDAT® will make a final attempt to contact you via
phone if the email notifications are not responded to within the stipulated
timeframe. If no corrective action is taken within 45 days from the initial
notification, the case will be closed permanently, and the submission will be
considered non-compliant due to user inaction.
DOTDAT® does not offer legal or professional advice.
Accuracy of the provided information is your responsibility, and DOTDAT® does
not independently verify this information. You affirm compliance with all
relevant laws, including data privacy laws, and necessary authorizations in
sharing personal information through the Services.
Submission of a Report implies your authorization to act on behalf of the
Subject of the Report.
3. Privacy Considerations
Your privacy is of utmost importance. Review our Privacy Policy for details on
information collection and usage in the Services. By using our Services, you
consent to our practices as described in the Privacy Policy, which is an
integral part of these Terms & Conditions.
4. Orders and Payments
Service features may be paid and requested through “Order” forms. Orders are
subject to change. Acceptance constitutes a payment agreement.
5. Proprietary Rights
All content on the Services, including trademarks, text, designs, graphics,
logos, and other materials, is the property of DOTDAT®, its content providers,
or licensors. Your access does not grant any rights to use any proprietary
content. All rights are reserved by DOTDAT® and its licensors. Unauthorized use
of the material on the Services, including modification, distribution, or
creation of derivative works, is strictly prohibited.
6. User Communications and Content
User-provided content grants DOTDAT® a non-exclusive license to use.
Communications unrelated to report submissions may be used freely by DOTDAT®.
7. Reporting Unauthorized Content
For content posted without permission, contact us for removal per the Digital
Millennium Copyright Act of 1998.
8.Acceptable Use
You agree not to misuse the Services, which includes restrictions on sharing
accounts, using the Services unlawfully, posting inappropriate content, engaging
in fraudulent activities, and refraining from using any device or software that
interferes with the Services.
9. Communication Preferences
You consent to receive communications from us, with preferences manageable via
contact.
10. Refund Policy
All sales through our Services are final. Refunds are issued only for billing
errors or undelivered Services.
11. Limitation of Liability
DOTDAT®'s liability is limited as outlined herein, with no warranties beyond
those permitted by law.
12.No Warranty
The Services are provided “as is” without any warranties. DOTDAT® disclaims all
warranties, either express or implied, to the fullest extent permissible under
the law.
13. Indemnification
You agree to indemnify and hold harmless DOTDAT® against all losses,
liabilities, and costs arising from your use of the Services, your content, or
your violation of these Terms & Conditions or any laws.
14. Service Outages
DOTDAT® is not liable for any loss or damage resulting from service outages,
either planned or unplanned.
15. Dispute Resolution
-Governing Law: The Terms & Conditions are governed by the laws of the State of
Idaho.
-Mandatory Arbitration: Disputes must be resolved through binding arbitration in
Idaho, with no jury trials or class actions permitted.
16. Miscellaneous
These Terms & Conditions, along with our Privacy Policy, constitute the entire
agreement between you and DOTDAT®. If any provision is deemed invalid, the
remaining provisions stay in effect. All claims related to the Services must be
filed within one year.
17. Contact Us
For inquiries: notifications@dotdat.us, (986) 210-5427, or PO BOX 45201, Boise,
ID 83711.
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DOTDAT® provides compliance services that are mandated by the U.S. Department of
Transportation/FMCSA, it is not in any way associated or affiliated, with the
U.S. Department of Transportation, the Federal Motor Carrier Safety
Administration, or the Unified Carrier Registration Plan. All rights reserved.
It is important to note that this promotional offer is not being made by an
agency of the government.
Copyright © 2024 DOTDAT®
(986) 210-5427 / P.O. Box 45201 Boise, ID 83711
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