M 936Cn Form PDF Details

In the world of construction and transportation, coordination and communication are key to ensuring that oversized or overweight vehicles can safely navigate through construction zones without causing damage or delays. The M-936CN form, distributed by PennDOT, stands as a crucial conduit for this coordination, requiring motor carriers to secure approval before moving large loads through state route construction areas. This form not only encompasses the original and current application ID numbers but also meticulously details the motor carrier's information, including the carrier's name, address, contact details, and insurance information. Furthermore, it outlines the specific dimensions and weight of the vehicle or load, the anticipated number of moves, the anticipated move dates, and the affected routes and counties. Importantly, it mandates the motor carrier to obtain explicit consent from the construction contractor, ensuring that the contractor is aware of and has approved the forthcoming movements through the project area. This form acts as a formal acknowledgment by the motor carrier of its responsibility for any injuries or damages occurring in the construction zone due to their movement. Additionally, it specifies conditions such as the requirement for the motor carrier to notify the contractor at least 24 hours before each movement. The contractor's information section, including the name, contact person, and their contact details, further facilitates this essential communication, ensuring all parties are informed and in agreement over the movements of oversized or overweight vehicles through construction projects.

QuestionAnswer
Form NameM 936Cn Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespa notification dot, construction notification, construction notification template, pa form m 936cn 6 12

Form Preview Example

M-936CN (6-12)

www.dot.state.pa.us

construction notification

application

Original Application ID#:

Current Application ID#:

The motor carrier who provided you with this document has applied to PennDOT to move an oversize and/or overweight vehicle or combination and nondivisible load on a State Route that is currently under construction by your company.

PennDOT staff will thoroughly review the motor carrier’s application and proposed routes. The motor carrier is required to coordinate any movement through construction project areas and to verify the construction contractor’s approval for the motor carrier to travel through the construction project area on the specified date(s) at the permitted sizes and weights.

Motor Carrier inforMation: (Please Print)

Motor Carrier’s Name: __________________________________________________________________________________

Address: ____________________________________________________________________________________________

City: _____________________________________________ State: __________ Zip Code: ________________________

Contact Person: _________________________________________________

Phone Number: ________________________________ Fax Number: ________________________________________

Email Address: _________________________________________________

Insurance Company: _____________________________________ Policy # ______________________________________

LoCation of ConStrUCtion: (Please Print)

Weight and Dimensions of Vehicle(s) and Load:

Gross Weight: _____________________ LBS.

Overall Width: __________FT. ________ IN.

Overall Length: __________FT. ________ IN.

Overall Height: __________FT. ________ IN.

Projected number of moves: _______ Anticipated move dates: FROM: _______________ TO: _______________

Affected Route(s): ______________________________________ Affected County(ies): _____________________________

ContraCtor inforMation: (Please Print)

The above motor carrier may travel through our construction project on the above listed route(s) and date(s). The motor carrier is responsible for any and all injuries or damages in the construction project area arising from the movement(s).

Special Conditions: The motor carrier must notify this contractor at least 24 hours before each movement.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

Contractor’s Name: ______________________________________________________________

Contact Person: __________________________________________________________

Phone Number: _______________________________ Fax Number: __________________________________________

Email Address: ________________________________________________

Contact Person Signature: ________________________________________ Date: ____________________________

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1. It's important to fill out the construction notification accurately, therefore take care while working with the sections comprising all these blank fields:

How you can prepare penndot m936cn step 1

2. Your next stage is to fill out the next few blank fields: Insurance Company Policy, Weight and Dimensions of Vehicles, LoCation of ConStrUCtion Please, Gross Weight LBS Overall Length, Overall Width FT IN Overall, Projected number of moves, Affected Routes Affected, ContraCtor inforMation Please Print, The above motor carrier may travel, is responsible for any and all, Special Conditions The motor, and Contractors Name.

penndot m936cn writing process detailed (step 2)

3. This next segment should also be relatively straightforward, Contractors Name, Contact Person, Phone Number Fax Number, Email Address, and Contact Person Signature Date - all these form fields has to be filled in here.

Completing section 3 of penndot m936cn

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