Heavy Truck/Trailer Supplemental

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Heavy Truck/Trailer Supplement

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Heavy Truck/Trailer Supplement

TYPE OF VEHICLES
Private Passenger Types & Light Trucks (0-10,000 Lbs. GVW) %:
Mediun Trucks (10,001-26,000 lbs. G.V.W.) %
Heavy Trucks (26,001-45,000lbs.G.V.W.)%
Extra-Heavy Trucks (over 45,000 lbs. G.V.W. %
Heavy Truck Tractors (0-45,000 lbs G.V.W. %
Extra-Heavy Truck Tractors (over 45,000 lbs. G.V.W. %
Service or Utility Trailers (0-2000 lbs. Load Capacity)%
Trailers (Specify): %
Semitrailers %
Other (Specify) %
TYPE OF REPAIRS
Accessory or Parts Sales %
Alignment, Steering orFront End Suspension %
Body Work or Painting %
Brakes %
Engine (Major) %
Engine (Minor) %
Frame %
Hydraulic Work %
Manufacturing/Fabricating (Specify) %
Oil, Lube, Tune-Up %
Refrigeration %
Tanker %
Tires (New) %
Tires (Used or Split Rim) %
Trailer Hitch Installation %
Trailer Repair %
Weilding %
Other Repairs (Specify) %
At Shop %
Away From Premises-Customers Location %
Away From Premises-Roadside %
WORK LOCATIONS
1. Diversion of traffic required? Yes No
2. Any out -of-state pickup or delivery? Yes No
3. Do all drivers have a CDL? Yes No
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