FEMA Form FF-145-F Transportation Service Providers (TSP) Registration Form

Logistics Supply Chain Management Systems Cloud (LSCMS-C) Access Control Form

FEMA Form FF-145-FY-22-103_draft

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DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

OMB Control No. 1660-XXXX
Expires: XX/XX/XXXX

FEMA TENDER OF SERVICE PROGRAM
TRANSPORTATION SERVICE PROVIDER (TSP) REGISTRATION FORM
Complete the form below to register to become a FEMA-Approved Transportation Service Provider

COMPANY INFORMATION
Company Name:

Primary User’s Name (Last, First):

Bid Request Email:

Bid Request Phone #:

Cargo Insurance Agency:

Cargo Insurance Agency Email:

Company SCAC (4 characters):
Select the description that best fits the transportation services you provide (Choose all that apply):
Company-Owned Assets

Freight Broker

Place an "X" beside all modes of transportation that you wish to provide to FEMA:
Transportation Modes:
Air - Airport to Airport

Maritime - Maritime Port to Maritime Port

Rail - Door to Door

Air - Door to Door

Maritime - Door to Door

Rail - Rail Yard to Rail Yard

DRAFT

Motor Freight - Full Truckload (TL)

Transportable Temporary Housing Units (TTHU)

Motor Freight - Less Than Truckload (LTL)

ASSET-BASED TSPs ONLY

Enter the quantity (number) of assets owned:
Power Only
Van Trailer
Reefer

Boeing 737, 747

Lockheed L-100, LM-100 J
Container Vessels

Flatbed

RO-RO Vessels

Removeable Gooseneck
(RGN)

Rail Boxcars

Forklift
Box Truck w/Liftgate
Single Drop Flatbed
Double Drop Flatbed
Primary User Signature:

FEMA Form FF-145-FY-22-103 (9/22)

Rail Flatcars
Rail Refrigerator Cars
Forklift over 10K
Intermodal Containers
Other:
Date:

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File Typeapplication/pdf
File TitleFEMA Form FF-145-FY-22-103
SubjectFEMA TENDER OF SERVICE PROGRAM..
T S P REGISTRATION FORM
File Modified2022-09-15
File Created2022-09-14

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