The Georgia F.O.G Alliance Local Governing Authority Vehicle Inspection Registration Form

This form is an electronic form that is submitted to the Website administrator of the Southeastern FOG Alliance. Its purpose is to help keep a data base for permitted companies and trucks in the State of Georgia that have been inspected only. The information provided is only for LGA"s and has no other purpose. Please make sure that you fill in all the required items so as not to misrepresent the company your are submitting information about.
Company Information
Transporter Name:*
Transporter Address:*
City:*
State*
Zip Code*
Company Point of Contact*
E-Mail of Contact*
Phone Number*
Fax Number
Truck Inspection Information
Please provide the information about the truck as follows: (Example Truck Tag#: GA-12345 / FOG# Issued: FOG000-000)
Truck #1 Tag:*
Truck #1 FOG number:*
Truck #2 Tag:
Truck #2 FOG number:
Truck #3 Tag:
Truck #3 FOG number:
Truck #4 Tag:
Truck #4 FOG number:
Truck #5 Tag:
Truck #5 FOG number:
Truck #6 Tag:
Truck #6 FOG number:
If you have more trucks than this form allows please submit another form for the other trucks.
Permit Issuance Date:*

MonthDayYear
Date
Permit Expiration Date:*

MonthDayYear
Date
LGA or Person Providing Information
LGA or Company Name:*
Point of Contact*
Phone Number*
E-Mail Address*
The information I am submitting is to the best of my knowledge. I have completed the inspection of the above transporter and each vehicle above has passed the required inspection to allow for the FOG permit for Georgia.
Should be Empty: