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highway_permits@sbcglobal.net

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ONLINE ORDER FORM

 

Name
Address
City
Zip Code
E-mail
Phone
Fax Permits to
Title
Company
State/Province
Name
Company
Address
City
State/Province
Zip/Postal Code
Phone
US DOT#
Insurance $Amt
For Hire?
Description
Make
Serial#/Model#
Load dimensions and weight?
Overall Dimensions?
Truck and Trailer Information?
What kind of permit(s) do you need?
Single Trip Oversize Permit
Single Trip Overweight Permit
Temporary Registration Permit (Trip)
Fuel Tax Permit
Multiple Trip / Annual Permit
(Please specify the length of time desired)
State(s) Needed?
Alabama
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Mass.
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hamp.
New Jersey
New Mexico
New York
N. Carolina
N. Dakota
Ohio
Oklahoma
Oregon
Penn.
Rhode Island
S. Carolina
S. Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
W. Virginia
Wisconsin
Wyoming
Please list the route for each state separately (ex: MN: from WI to SD on Int 90)
Effective Date? (Also include the starting time for Fuel Tax and Trip Permits)
Additional Comments?
What name and address do you want listed on the permit? (only if different than the billing information)
What is your load?
(include axle information if GVW is over 80,000 lbs)
Legal is generally under 65' long, 8'6" wide, 13'6" high, or 80000lbs
(Unit #s only are fine if we have this information in our computer system already)
PLEASE PRINT ORDER AND FAX OR SIMPLY CLICK "SEND ORDER"
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