Obtain Repair and Maintenance Permit

Motor Carrier Information

The information that this page requires is found on the form submitted by the taxpayer.

 

 

Repair and Maintenance Permit Request Elements

Label                            Description

Effective Start Date::

Calendar

Enter the date information into the data fields.

Or, press the calendar icon  and select the effective date. The calendar opens to the current date. To change months, use the scroll arrows (<< or >>).  Click the date needed and it will be imported into the form.

Company Name:

Data Field

Enter the business company name.

Federal Identification:

Radio Buttons and Data Field (numbers)

Select the radio button for either FEIN or SSN.  Enter the FEIN or SSN number (that matches the button selection) in the data field.

Doing Business As (DBA):

Data Field

If the company has a DBA name, enter it in this data field.

Telephone Number:

Data Field (phone)

Enter the area code in the first field. Enter the phone number prefix in the second field. Enter the last four digits of the number in the third field.

Street Address

address

Enter the full street address in the data field.

City:

City

Enter the name of the city

State:

State

Use the two-letter Jurisdiction abbreviation for the state.

Zip Code:

Zip code

Enter the zip code in the data field.

Select Program:

Dropdown menu

Select the appropriate program(s) from the dropdown menu. The options are: IRP, IFTA, IRP or IFTA.

Permit Application signed by Taxpayer?

Radio Buttons

Select the radio button marked Yes if the application is signed by the taxpayer. Select the No button if it is not signed by the taxpayer.

Additional Details:

Data Field (text)

Any further information may be entered in the data field.

Submit

Button

Press the Submit button to proceed with the new account registration.