FLEET APPLICATION 11 or More Power Units Entire Application Must Be Completed and Signed Submission Number: Proposed Effective Dates: FROM: TO: GENERAL INFORMATION Individual Corporation Partnership LLC Other      Name Mailing Address E-Mail Address Garaging Address (if different) Safety E-Mail Address Type of Operation: For Hire Not For Hire Non-Trucking Private     Do you engage in operations other than trucking? Yes No   If yes, explain: Has there been any change in the nature of operations, ownership, management or the name of the operation during the last five years? Yes No   If yes, provide details: Range of Transport Interstate Intrastate   Percent of Loads: 0 - 100 Miles 101 - 300 Miles 301 - 500 Miles 501 Miles + Longest Trip One Way: Miles OPERATIONS LESS THAN 300 MILE RADIUS - List City Destinations Below 1 2 3 4 OPERATIONS BEYOND 300 MILE RADIUS: Identify Metropolitan Areas Traveled Through Or Into Cities other than above or regular routes Percent of regular routes
FLEET APPLICATION 11 or More Power Units Entire Application Must Be Completed and Signed Submission Number: Proposed Effective Dates: FROM: TO: GENERAL INFORMATION  Individual  Corporation  Partnership  LLC Other  Name Mailing Address E-Mail Address Garaging Address (if different) Safety E-Mail Address Type of Operation:  For Hire  Not For Hire  Non-Trucking  Private Do you engage in operations other than trucking?  Yes  No If yes, explain: Has there been any change in the nature of operations, ownership, management or the name of the operation during the last five years?  Yes  No If yes, provide details: Range of Transport  Interstate  Intrastate Percent of Loads: 0 - 100 Miles 101 - 300 Miles 301 - 500 Miles 501 Miles + Longest Trip One Way: Miles OPERATIONS LESS THAN 300 MILE RADIUS - List City Destinations Below 1 2 3 4 OPERATIONS BEYOND 300 MILE RADIUS: Identify Metropolitan Areas Traveled Through Or Into Cities other than above or regular routes Percent of regular routes
Northland%20Truck%20Fleet%20App.docx