CUSTOM FORM MANUFACTURING INC

USDOT 333549 · MC285280 · Elkhart, IN · Underwriter-grade risk snapshot

Operating statusI

Lead priorityInactive

Fleet5 power units · 4 drivers (5 trucks)

OperationA · PRIVATE PROPERTY

Current insurer—

Crashes / Inspections (24 mo)0 / 0

Address2100 INDUSTRIAL PKWY
ELKHART IN 46516-5433

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Power units5

Drivers4 (0 CDL)

MCS-150 mileage0 (0)

MCS-150 filed—

HazmatN

Cargoother: pickuptruckbedliners, general freight

Insurer	Policy #	Effective	Cancelled
AMERICAN MOTORISTS INSURANCE CO.	3MG 421 785-01	Feb 15, 1999	May 17, 2000
AMERICAN MOTORISTS INSURANCE CO.	3MJ42178500	Feb 15, 1998	Feb 15, 1999
AMERICAN MOTORISTS INSURANCE CO.	3MJ42178500	Feb 15, 1998	Apr 1, 1999
TRANSPORTATION INSURANCE CO.	BUA 1034372455	Feb 15, 1996	Feb 15, 1998
TRANSPORTATION INSURANCE CO.	1034372455	Feb 15, 1996	Feb 15, 1996
TRANSPORTATION INSURANCE CO.	BUA 134372455	Feb 15, 1996	Feb 15, 1996

Docket	Status	Pending
MC285280	Common None Contract Inactive Broker None	—

Total inspections0

Out-of-service0

Vehicle OOS rate—

Driver OOS rate—

Total violations0

OOS violations0

Total crashes0

Fatal crashes0

Injuries0

Insurance agent? CUSTOM FORM MANUFACTURING INC — get the full IN lead list.

Data as of Thu Oct 15 2026 00:00:00 GMT+0000 (Coordinated Universal Time). Source: FMCSA public filings, refreshed daily by Insight Carrier.