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pdfDEPARTMENT 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 Type | application/pdf |
File Title | FEMA Form FF-145-FY-22-103 |
Subject | FEMA TENDER OF SERVICE PROGRAM..
T S P REGISTRATION FORM |
File Modified | 2022-09-15 |
File Created | 2022-09-14 |