Hurricane Survey - Trucking
DEPARTMENT OF LICENSING AND CONSUMER AFFAIRS Trucking Services and Supply Price Survey Form Name of Business: _____________________________________________________________________ Mailing Address: _______________________________________________________________________ Physical Address:______________________________ Cell:__________________________________ Tel: ____________________________________________ e-mail:_____________________________________ Legal Form of your Business (Corp., Partnership, LLC): _____________________________________ Truck Usage: Trash Removal ( ) Delivery/Transport of Goods ( ) Other: _________________________________ Total Number of Trucks: _____________________________ Truck Capacity: Truck 1: ____________________________ Truck 2: ____________________________ Truck 3: ____________________________ Truck 4: ____________________________ Price Per Truck : Low: $________________________ to High: $______________________________ Low: $________________________ to High: $______________________________ Low: $________________________ to High: $__________________________ …
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Original source: https://dlca.vi.gov/forms/pdf/HurricaneSurveyTrucking.pdf
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DEPARTMENT OF LICENSING AND CONSUMER AFFAIRS Trucking Services and Supply Price Survey Form Name of Business: _____________________________________________________________________ Mailing Address: _______________________________________________________________________ Physical Address:______________________________ Cell:__________________________________ Tel: ____________________________________________ e-mail:_____________________________________ Legal Form of your Business (Corp., Partnership, LLC): _____________________________________ Truck Usage: Trash Removal ( ) Delivery/Transport of Goods ( ) Other: _________________________________ Total Number of Trucks: _____________________________ Truck Capacity: Truck 1: ____________________________ Truck 2: ____________________________ Truck 3: ____________________________ Truck 4: ____________________________ Price Per Truck : Low: $________________________ to High: $______________________________ Low: $________________________ to High: $______________________________ Low: $________________________ to High: $______________________________ Low: $________________________ to High: $______________________________ Are there additional charges depending on Difficult & Dangerous locations? Yes: _____________________ No: ______________________ Are there additional charges depending on the amount of cargo required for delivery? Yes: _____________________ No: ______________________ I hereby certify that the information provide herein is true and correct. ______________________________________ _______________________________ ________________ Print your Name Signature Date