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DISMISSED ICC AUTHORITY APPLICATION
Note: Not all ICC applications can be reactivated. There is no fee to determine if your application can be re activated.

Upon submission of this information we will check to see if your application qualifies. If your application can be reactivated we can provide this service for $75. You will not be charged until you agree to have us reinstate your application.

Email Address
Fill out this section EXACTLY as it appears on your company auto liability insurance policy
Legal Name
DBA (if any)
Federal ID Number:
Docket Number
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Business Address
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Mailing Address
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Phone
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Liability Insurance Agent's Name and Telephone Number
Cargo Insurance Agent's Name and Telephone Number
Type Of Authority Applied For
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Our Nationwide Truck Permit Offices
Virginia
Permits Plus Inc.
P.O. Box 557
8128 Lee Hwy
Troutville, Virginia 24175-0557
1-877-722-8059
Fax (540) 966-2175
New York
Permits Plus Inc.
999-32 Montauk Hwy #416
Shirley, NY 11967
1-800-722-8059
Fax (631) 722-4541
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