Applicant Form (Oversize/Overweight)
Company Name
FEIN/Tax ID
USDOT Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email (Separate multiple emails by semi-colon)
example@example.com
How would you like your permits delivered?
Applicant Phone
Please enter a valid phone number.
Applicant Fax
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Starting Location (Street name, City and State required, note - street number is not required) Type a question
Ending Location (Street name, City and State required, note - street number is not required)
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TRUCK
Unit #
VIN
Length (ft-in)
Empty Weight (lbs)
Make
Type
Year
Truck State
Truck License
Trailer
Unit #
VIN
Length (ft-in)
Empty Weight (lbs)
Make
Type
Year
Trailer State
Trailer License
Trailer #2 (If needed)
Unit #
VIN
Length (ft-in)
Empty Weight (lbs)
Make
Type
Year
Trailer State
Trailer License
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Load Information
Load Specifics
Load Type
Please Select
Non-Divisible
Divisible
Permit Type
Please Select
Boat
Equipment
House Move
Mobile Home
Portal Building
Sealed Container
Self-Propelled
Load Trip Reference #
Control #
Load Description
Hazardous
Please Select
Yes
No
Load Length (ft-in)
Load Width (ft-in)
Load Height (ft-in)
Load Weight (lbs)
Load Serial #
Overall Information
Overall Length (ft-in)
Overall Width (ft-in)
Overall Height (lbs)
Rear Overhang (ft-in)
Front Overhang (ft-in)
Registered Weight (lbs)
Gross Weight (lbs)
Number of Axles
Kingpin to Last Axle (ft-in)
Should be Empty: