FMCSA Portal Account Request Form

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Work Information

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*City:
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*Phone #: 1- Ext.#
Fax #: 1-

*FMCSA Affiliate State:
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*Preferred Contact Method:

Federal Motor Carrier Safety Administration
1200 New Jersey Avenue SE, Washington, DC 20590 • 1-800-832-5660 • TTY: 1-800-877-8339 • Field Office Contacts

Application Release Date: February 13 2017, 7:00 PM EDT, Version: 1.0.0.1