Hours of Service Relief Request Form
|
| Company Name |
|
| First Name |
|
| Last Name |
|
| Address |
|
| City |
|
| State/Providence |
|
| Zip |
|
| E-mail Address |
|
| Telephone |
|
| Fax |
|
| Enter a brief statement explaining the character of the emergency. |
|
| Which roads are snow or iced covered? |
|
| Which Terminals have lines and how long are they? |
|
| How many days of fuel do you have before your supply is depleted? |
|
| If a driver hour restrictions aren't waived, how many customers will you be unable to serve who urgently need propane? |
|
| Do you have an unsatisfactory safety rating from the Federal Motor Carriers Safety Administration? |
Yes No |
| Please provide any additional information you deem appropriate for the PUCO Director to consider in the application for regulatory relief. |
|
