To apply for a Town of Coaldale Transportation of Dangerous Goods Permit, please fill out the application below. There is a $150.00 permit fee per company per calendar year. You must have JavaScript enabled to use this form. Applicant Name Company Name Company Street Address Email Transport Container Type Registered GVW Dangerous Goods Dangerous Goods Dangerous Goods Item weight Add more items more items UNID# Hazard Class Destination within the Town of Coaldale CAPTCHA Leave this field blank