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UNIFIED CARRIER REGISTRATION FORM UCR-2 UCR REGISTRATION YEAR 2012 SECTION 1. GENERAL INFORMATION USDOT Number MC or MX Number FF Number Telephone Number Fax Number Legal Name E-Mail Address Doing Business Under The Following Name (DBA) Principal Place Of Business Street Address (See Instructions) Principal Business City Principal Business State Zip Code Mailing Street Address Mailing City Mailing State Mailing Zip Code SECTION 2. CLASSIFICATION Check All That Apply Motor Carrier Motor Private Carrier SECTION 3 MoreFax Number. Legal Name. E-Mail Address. Doing Business Under The Following Name (DBA). Principal Place Of Business Street Address (See Instructions) Less
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