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Motor Carrier Forms and Applications

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Motor Carrier Services Division

NameState Form NumberDescriptionFile Type
OSS-155968Request to Close Motor Carrier Service Account(s)fill-in pdf
MC-CCP51694Credit Card Payment Authorization Formfill-in pdf
POA-149357Power of Attorneyfill-in pdf
IVT-156305Fuel Inventory Reportfill-in pdf
 56148Municipal Wheel Taxfill-in pdf

International Fuel Tax Agreement (IFTA)

NameState Form NumberDescriptionFile Type
IFTA-1A 54049International Fuel Tax Agreement Applicationfill-in pdf
MCS-CNG-10155598Quarterly Alternative Claim for Refundfill-in pdf
MF-660C49097Application for Repair and Maintenance Permitfill-in pdf
 56624Application For 30 Day Hunter’s Permitfill-in pdf

International Registration Plan (IRP)

NameState Form NumberDescriptionFile Type
INIRP-BN55550New Account Schedule BNfill-in pdf
INIRP-L51290Affidavit for Replacement Apportion IRP License Plate Schedule Lpdf
INIRP-N IRP Notice of Understanding (New Applicants Only)fill-in pdf
INIRP-S48284Declaration of Signature Schedule Sfill-in pdf
INIRP-VLA12787Statement of Existing Vehicle Lease Agreementpdf
MF-660C Application for Repair and Maintenance Permitfill-in pdf
YT-147692Application for a Yard Tractor Permitfill-in pdf
    

Full Reciprocity Plan (FRP)

NameState Form NumberDescriptionFile Type
FRP-A 55661Application for the International Registration Plan Schedule Afill-in pdf
FRP-B55662International Registration Plan Schedule Bfill-in pdf
FRP-C55663International Registration Plan Transaction Schedule Cfill-in pdf
FRP-G55664International Registration Plan Schedule Gfill-in pdf

Motor Carrier Fuel Tax (MCFT)

NameState Form NumberDescriptionFile Type
MCFT-1A 53994Intrastate Motor Carrier Fuel Tax Annual Permit Applicationfill-in pdf
PROP-1 55615Proportional Use Credit Certification Applicationfill-in pdf
MCS-1789 49868Claim for Proportional Use Creditfill-in pdf
MCS-NC50861Legal Name Change Affidavitfill-in pdf

Oversize/Overweight (OSW)

NameState Form NumberDescriptionFile Type
M-20147899Oversized/Overweight Permit Service Agreementfill-in pdf
M-203 25415OSW Transporting Company Agreementfill-in pdf
M-204 General Provisions of an Oversize/Overweight Vehicle Permitpdf
M-204S Special Provisions for Vehicle Permittingpdf
M-211 47864Annual Special Weight Vehicle Registration and/or Quarterly Billing Authorization Guidelinesfill-in pdf
M-219 41528Permit Fee Bondfill-in pdf
M-233 1948Oversize/Overweight Vehicle Permit Applicationfill-in pdf
M-233DR 49061Annual Mobile Home Rig Dealer's Permit Applicationfill-in pdf
M-233IC51481Oversize/Overweight Inquiry/Change Formfill-in pdf
M-233ST 944Special Weight Single Trip/Trip Authorization Permitfill-in pdf
M-233T2331Annual Toll Road Gate Permitfill-in pdf
Route Survey56411Route Surveyfill-in pdf

Insurance & Safety (USDOT & UCR)

NameState Form NumberDescriptionFile Type
BAS-1 46918Indiana Business Authorization and Safety Application for Intrastate and/or Interstate Carriersfill-in pdf
Form 70050215Application for Permanent Authority (for Carriers of Household Goods or Passengers)fill-in pdf
Form 70350216Application for Emergency or Temporary Authority (for Carriers of Household Goods or Passengers)fill-in pdf
Form 70750219Joint Application for Sale and Transfer of Permanent Authority (for Carriers of Household Goods or Passengers)fill-in pdf
Form 71150226Joint Application for Emergency or Temporary Authority (for Carriers of Household Goods or Passengers)fill-in pdf

Base Plate Registration (BPR)

NameState Form NumberDescriptionFile Type
INBPR-A55394Application for Base Plate RegistrationSchedule Afill-in pdf
INBPR-C55395Base Plate Registration Transaction Schedule Cfill-in pdf

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