The Maine Trip Permit Application form is a crucial document for carriers seeking temporary permits for interstate travel. This application allows carriers to apply for various permits, including the IRP Trip Permit, IFTA Fuel Trip Permit, and a combination of both. Understanding the details and requirements of this form is essential for ensuring compliance and smooth operations on the road.
The Maine Trip Permit Application form is a crucial document for carriers needing temporary authorization for vehicle operation within the state. This form offers three types of permits: the IRP Trip Permit, the IFTA Fuel Trip Permit, and a combination of both. Each permit comes with associated fees and requires specific information to be filled out accurately. Applicants must provide their registrant name, address, and US DOT number, as well as detailed vehicle information, including year, make, and VIN number. A valid registration copy is mandatory for processing. The application also includes a section for contact information, where the person requesting the permit can provide their phone number and specify where the permit should be faxed. Payment details are essential, with options for credit card payments. The form emphasizes the importance of including a lease agreement if the applicant is leased to another carrier. Completing this application correctly ensures compliance with Maine's regulations and facilitates smooth operations for carriers on the road.
Department of the Secretary of State
Maine Bureau of Motor Vehicles
72 Consecutive Hour
Trip Permit Application
Permit Information:
Effective Date & Time
Expiration Date & Time
/
I am applying for the following:
IRP Trip Permit ($25.00 + $3.00 Fax Fee)
IFTA Fuel Trip Permit ($50.00 + $3.00 Fax Fee)
Combination IRP/IFTA Trip Permit ($75.00 + $3.00 Fax Fee)
Carrier Information:
Registrant Name: ________________________________________________
Address: _______________________________________________________
City: _____________________ State/Province: _____ Postal Code: ________
Carrier Responsible for Safety US DOT Number:1 _______________________
Vehicle Information: (A copy of the Valid Registration must be provided.)
Year
Make
Maine Reg. Wgt.
Axles VIN Number
Base Jurisdiction
Plate Number
Unit Number
Contact Information:
Person Requesting Trip Permit
Phone Number
Fax Trip Permit To (Name)
Fax Number
1If you are leased to another carrier, you are required to provide a copy of the lease agreement.
**The following payment information MUST be provided**
Type of card: (please circle one) VISA Mastercard
Account Number: __________________________ Exp. Date: ______________
Cardholder Name: _________________________________________________
Billing Address: ___________________________________________________
Telephone Number (Cardholder): _____________________________________
Signature: ________________________________________________________
REVISED 7/06/2012
101 Hospital Street, 29 State House Station, Augusta, ME 04333-0029
Phone (207) 624-9000 Ext. 52135 Fax (207) 624-9086 TTY Users call Maine relay 711
www.maine.gov/sos/bmv/commercial Email: meirp@maine.gov
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