Special State Permit Application

Special State Permit Application
Name:*

First NameLast Name
Company Name:
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
Mailing Address:*

Street Address

Street Address Line 2

CityState

Zip Code
ICC#(MC#):*
FEIN#:*
SSN#:*
DOT #: *
Vehicle Information
Upload Copy of Cab Card*

Please upload a copy of each vehicles cab card that will require a permit
Cancelof
Unit#: *
Serial Number/VIN (ALL CAPS):*
Year:*
Make:*
License Plate #:*
State:*
Registered GVW: *
Number of Axles:*
Special State Requested
Please read before placing your permit order!

Kentucky: GVW must be 59,999 or more. This is a one-time purchase, but you MUST file each quarter on time; otherwise, they will place a $500 fine on your account.

New Mexico: GVW must be over 26,001. Renew the permit each year. File your returns each quarter.

New York: GVW must be over 17,999. Renews every 3 years.

Oregon: GVW must be over 26,000. This is a one-time purchase as long as your account is current. You have to have a $3,000 bond on file with Oregon.

Connecticut: GVW must be over 26,000. This is a one-time purchase.
Select All States Requiring Permits

Kentucky (KYU #)New Mexico Weight Distance (NM WDT)New York Hut (NY HUT)Oregon Weight-MileConnecticut Highway Use TaxNew Jersey
Kentucky KYU#:*
NY HUT:*
NM Annual:*
OR:*
NJ Business Certificate:*
CT Highway Use Fee*
Should be Empty:

Vehicle Information