Section 1 of 8

Section 1

Business & Contact Information

Start with your basic company details and the best way to reach you. Fields marked * are required.

Your responses are saved automatically as you type and are never shared with third parties.

Business information

Legal business name *

Please enter your legal business name.

DBA / trade name

Business entity type *

Please select your entity type.

State of formation / registration *

Please enter your state.

Employer Identification Number (EIN) Required for drug & alcohol enrollment and authority filings.

Year business established

Principal business address *

Please enter your business address.

Mailing address (if different)

Primary contact

First name *

Please enter your first name.

Last name *

Please enter your last name.

Your role *

Please select your role.

Best phone number *

Please enter your phone number.

Email address *

Please enter a valid email address.

Preferred contact method

Best time to reach you

Morning (8am–12pm) Afternoon (12pm–5pm) Evening (5pm–7pm) Anytime

Secondary contact name, phone & role

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Section 2 of 8

Section 2

Authority & Operational Scope

Your MC/USDOT numbers, operating authority status, and interstate vs. intrastate scope determine which regulations apply to your operation.

Operational scope

Primary operational scope *

Interstate (crosses state lines) Intrastate only (one state) Both

Primary states of operation *

Please list your states of operation.

UCR (Unified Carrier Registration)

IRP (apportioned plates) required?

IFTA fuel tax reporting

Yes — registered & filing Yes — not yet registered No — intrastate only Unknown

Section 3 of 8

Section 3

Fleet Size & Equipment

Tell us about your trucks, trailers, and what you haul. This determines which inspection, maintenance, and hazmat requirements apply.

Vehicle maintenance status

Are current annual vehicle inspections (49 CFR Part 396) up to date on all units?

Yes — all units current Partially — some expired No — need to be done Unknown

Do you have a written preventive maintenance (PM) program?

Yes — written & documented Informal — not documented No

Additional notes on vehicle or maintenance concerns

Section 4 of 8

Section 4

Driver Count & CDL Information

Driver qualification files are the most frequently cited deficiency in DOT audits. This section helps us assess your current DQ file status.

Section 5 of 8

Section 5

Compliance Status & ELD

Tell us about your current compliance standing, audit history, CSA scores, and ELD / hours-of-service setup. Be as candid as possible — this helps us prioritize the right areas.

Disclosing past violations or gaps is not a problem — it's the starting point. QSG's job is to fix them, not judge them.

Section 6 of 8

Section 6

Insurance Information

FMCSA requires specific minimum insurance coverage levels depending on your authority type and commodity. Let us verify you're properly covered.

Coverage details

Do you have current commercial auto liability insurance that meets FMCSA mini

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