Fillable Form 3342424395: ALABAMALAWENFORCEMENTAGENCY (Alabama Law Enforcement Agency)

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Form 3342424395: ALABAMALAWENFORCEMENTAGENCY (Alabama Law Enforcement Agency)

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ALABAMALAWENFORCEMENTAGENCY
MOTORCARRIERSAFETYUNIT
P.O.Box1511
Montgomery,AL36102
334‐242‐4395
WWW.ALEA.GOV/MC
RequestforcopyofRoadsideInspectionReport
NAMEOFREQUESTINGCOMPANY:
STREETADDRESSOFCOMPANY:
CITY
:
STATE:
ZI
P:
NAMEOFCONTACTPE
RSON:
PHONENUMBER:
FAXNUM
BER
:
NAMEOFDRIVER(S):
DRIVER
LICENSENUMBER(S)&S
TATE:
CARRIERNAME:
USDOTNUMBER:
DATEOFREPORT:
REPORTNUMBER:
Effective January 1, 2005
InspectionReports‐$5.00
Post‐AccidentReports‐$5.00
AlabamaCarrierProfiles‐$10.00
PaymentsmustbemadebyCHECKorMONEYORDER
Emailinformationto:MCSUInfo@alea.gov
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Form 3342424395: ALABAMALAWENFORCEMENTAGENCY (Alabama Law Enforcement Agency)

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Completed 20 July 2020

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