Dmv Form Hp 401 PDF Details

Navigating the complexities of hauling permits in Virginia has been streamlined with the introduction of the DMV HP 401 form, a comprehensive application designed for those seeking blanket hauling permits. This document caters to a wide array of needs, from covering multiple moves to specifying intricate details about the cargo, the transporting vehicle, and the intended route. With an option to select the permit's duration up to two years and detailed fields for entering vehicle and load dimensions, axle weights, and spacings, the form ensures that all aspects of the proposed haul are thoroughly documented. It also accommodates for both hazardous and non-hazardous loads, underlining the importance of safety and compliance. Furthermore, the inclusion of a specific route section, alongside an unrestricted routes option, provides flexibility for planners and drivers. By requiring a certification signature, the form also emphasizes the seriousness of the information provided, aligning with legal and procedural standards. Notably, the form outlines pertinent fees related to permit duration, overweight permits, and special considerations for certain vehicle types, ensuring applicants are well-informed of potential costs. Given its detailed nature and the critical information it gathers, the DMV HP 401 form stands as a pivotal tool in the efficient and compliant facilitation of hauling activities within Virginia.

QuestionAnswer
Form NameDmv Form Hp 401
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesvirginia hauling, permit, virginia blanket permit, virginia form blank

Form Preview Example

VIRGINIA BLANKET HAULING PERMIT

APPLICATION

HP 401 (10/27/2020)

Telephone: (804) 786-2787 Fax: (804) 367-1003

Purpose: Use this form to apply for a hauling permit covering multiple moves. See additional instructions on page 3 of this application.

Instructions: Mail or fax this form to the address or fax number above. Use the Virginia Hauling Permit Addendum Additional Axle (form HP 403) for configuration exceeding 9 axles. Use the Locality Blanket Permit Addendum form HP 406 to order locality blanket permits.

DMV USE ONLY

RECEIVED DATE (mm/dd/yyyy)

REFERENCE NUMBER

 

 

CHECK NUMBER

CHECK AMOUNT

 

 

REQUESTED DURATION (subject to approval)

2 years

 

1 year

 

_______ months

 

 

 

 

 

 

REQUESTED EFFECTIVE DATE (mm/dd/yyyy) QUANTITY

SHIPPER (Hauling or Transport Company)

ID NUMBER (VAHPS ID, FEIN, OR SSN)

GOVERNMENT MOVE (check one)

CONTACT PERSON NAME

 

 

 

Federal

 

State

 

 

 

 

 

 

 

 

 

 

COMPANY NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME (last)

(first)

 

(mi)

(suffix)

TELEPHONE NUMBER

 

 

 

 

 

 

 

MAILING ADDRESS

 

 

 

 

 

FAX NUMBER

 

 

 

 

 

 

 

P. O. BOX, SUITE NUMBER (if applicable)

 

 

 

 

 

EMAIL ADDRESS

 

 

 

 

 

 

 

 

CITY

 

STATE

ZIP CODE

 

VA JURISDICTION (county or city—VA only)

COUNTRY

 

 

 

 

 

 

 

 

COMMODITY AND VEHICLE

ITEM TO BE MOVED

CRANE MAKE AND MODEL (if applicable)

TRANSPORT METHOD (check one)

Haul

Tow

Drive

HAZARDOUS

Yes

No

VEHICLE ID LOCATION

Truck/Trailer Combination

Straight Truck

LICENSE PLATE NUMBER ISSUING STATE VIN/SERIAL NUMBER (last 5 digits)

OVERALL DIMENSIONS/SIDE OVERHANG

 

VEHICLE AND LOAD

 

SIDE OVERHANG

 

 

HEIGHT

 

Is the overhang evenly distributed across the left and right sides of the transporter?

 

 

feet

inches

Yes

No (must provide overhang width)

None

 

 

 

 

 

 

 

 

 

 

WIDTH

 

 

WIDTH OVERHANG

 

 

feet

inches

LEFT ______ feet ______ inches

RIGHT ______ feet ______ inches

 

 

 

 

 

 

 

 

 

 

LENGTH

 

 

LENGTH OVERHANG

 

 

feet

inches

FRONT ______ feet ______ inches

REAR ______ feet ______ inches

 

 

 

 

 

 

 

 

SELF-PROPELLED CRANE

Width outside of left tire to outside of right tire.

WIDTH _____ feet _____ inches

AXLE WEIGHT AND SPACINGS

GROSS WEIGHT

LICENSED LEGAL WEIGHT

NUMBER OF AXLES

See instructions above for configurations exceeding 9 axles.

pounds

AXLE

1

 

2

 

3

 

4

 

5

 

6

 

 

7

 

8

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEIGHT

 

lbs

 

lbs

 

 

lbs

 

 

lbs

 

 

lbs

 

 

lbs

 

lbs

 

lbs

 

lbs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DISTANCE

(between axles)

feet in

feet in

feet in

feet in

feet in

feet in

feet in

feet in

HP 401 (10/27/2020)

Page 2

ROUTE INFORMATION

 

CHECK ONE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Unrestricted Routes (Skip to Certification Section)

 

 

Specific route (Complete Section A below.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am STARTING at (check appropriate box):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Line

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

/

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Abbreviation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City Name

 

 

 

 

 

County Name

 

 

My DIRECTION will be (check one):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N

 

 

S

 

 

 

 

 

E

 

W

on route

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provide additional starting point information ONLY if starting within Virginia.

 

 

 

 

 

 

 

 

 

The starting point is

 

 

 

 

miles

 

 

N

 

 

 

S

 

 

 

E

 

W

of route

from starting address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am ENDING at (check appropriate box):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Line

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

City

 

 

 

 

 

 

 

 

 

/

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Abbreviation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City Name

 

 

 

 

 

County Name

 

 

My DIRECTION will be (check one):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N

 

 

S

 

 

E

 

W

on route

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provide additional ending point information ONLY if ending within Virginia.

 

 

 

 

 

 

 

 

 

 

The ending point is

 

 

 

 

miles

 

 

 

N

 

 

S

 

 

E

 

W

of route

to ending address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ROUTE REQUESTED

 

 

 

 

 

 

PERMIT FEES

1 year — $100.00 (If overweight, an additional $40.00 mileage and $360.00 damage fee per year will apply. If the vehicle or the equipment being towed cannot be licensed in Virginia (i.e. Self-propelled crane, mobile home), a $40 mileage fee will apply.)

2 years — $200.00 (If overweight, an additional $40.00 mileage and $360.00 damage fee per year will apply. If the vehicle or the equipment being towed cannot be licensed in Virginia (i.e. Self-propelled crane, mobile home), a $40 mileage fee will apply.)

CERTIFICATION

My signature below certifies that I understand no amendments will be made to a Virginia Hauling Permit once it is issued.

I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

AUTHORIZED REPRESENTATIVE NAME (print)

AUTHORIZED REPRESENTATIVE SIGNATURE

DATE (mm/dd/yyyy)

 

 

 

DELIVERY (For current pricing, refer to Virginia hauling permit price list available on our website.)

DELIVERY (check one) (NOTE: For payment and delivery information please refer to the instructions on page 3 of this application.)

USPS FAX

INSTRUCTIONS FOR COMPLETING THE VIRGINIA

HP 401 (10/27/2020)

Page 3

 

HAULING PERMIT BLANKET PERMIT APPLICATION

 

 

 

 

 

Requested Duration — Choose from 2 years, 1 year or enter the number of months desired.

 

 

Requested Effective Date — Date you wish the permit to start.

 

 

SHIPPER

 

 

New Shipper Location — Check if this shipper has not been previously issued a permit in Virginia Automated Hauling Permit System (VAHPS) or if it is an additional location for this shipper.

Shipper Address Change — Check if this application records an address change.

ID Number — If the shipper has a VAHPS ID, enter it here. Otherwise enter the shipper's federal employer identification number (FEIN) or social security number (SSN).

Government Move — Choose federal, state, or local if this permit is being ordered to conduct a government move.

Contact Person Name — Name of the person responsible for the permit. (Contact person name will be displayed on the permit document.) Company Name — Name of the shipper.

Name — If the shipper is a person, complete name first, last, middle initial, and suffix name box. Telephone Number — Phone number for the contact person displayed on the permit document. Mailing Address — Mailing address for the shipper.

Fax Number — Fax number of the shipper.

P. O. Box , Suite Number — Post office box number and/or suite number if applicable. Email — Email address of the contact person.

City — City where the shipper is located. State — State where the shipper is located.

Zip Code — Postal zip code where the shipper is located.

VA Jurisdiction — County or city where shipper is located (for Virginia shippers only). Country — Country in which the shipper is located.

COMMODITY AND VEHICLE

Item to be moved — Name of the item to be moved (e.g., truck bed, crane, excavator storage container). Crane Make and Model — If the item being moved is a crane, enter the make and model.

Transport Method — Indicate how the item will be moved: hauled, towed or driven. Hazardous — Check if the item is hazardous.

Vehicle ID Location — Check if using the license plate or serial number of a truck and trailer combination (trailer) or straight truck (truck). License Plate Number — Enter the license plate number.

Issuing State — Enter the state from which the license plate is issued.

VIN/Serial Number — Enter the last 5 numbers of the Vehicle Identification Number (VIN) or serial number if the transporter is not licensed.

OVERALL DIMENSIONS/SIDE OVERHANG

Vehicle and Load — Enter the overall height, width and length measurement (feet and inches) of the vehicle and load combination being moved. Overhang Boxes — Side Overhang — Check the appropriate box for overhang distribution. Width Overhang — If you answer no to side overhang, you must complete the width overhang boxes.

(If you answer no you must complete the width overhang boxes.)

Length Overhang — Enter how much load hangs over the front and rear of the trailer.

Self-propelled Crane — If driving a crane, enter the width from outside of left tire to outside of right tire.

AXLE WEIGHT AND SPACINGS

Gross Weight — Enter the total weight of the vehicle configuration and load. Licensed Legal Weight — Enter weight for which the vehicle is legally licensed.

Number of Axles — Enter the total number of axles including the axles on the power unit, trailer and dolly.

If you exceed 9 axles, check the box and complete the additional axle, Virginia Hauling Permit Additional Axle (form HP 403). Axle — Circle one for each axle.

Weight — Enter the individual weight for each axle circled.

Distance — Enter distance in feet and inches between each pair of axles.

ROUTE

Check to indicate whether you are applying for unrestricted routes or a specific route. For All Unrestricted Routes — Leave all other route information blank.

Specific Route — Complete all route boxes.

Starting — Check the appropriate box to indicate the starting point of the trip. Fill in the blank to indicate name of starting point.

Direction — Check which direction you will be heading. Enter route number. If you will be starting within Virginia, enter the distance and direction from the intersecting route nearest your starting address and starting route number.

Ending — Check the appropriate box as to where you are ending. Fill in the blank to indicate name of ending point.

If you will be ending within Virginia, enter the distance and direction from the intersecting route nearest your ending address and route number. Route Requested — Enter the desired route you wish to travel.

SIGNATURE

Name — Print the name of the person completing this form.

Signature — Written signature of the person completing this form.

Date — Date this application was signed.

PAYMENT/DELIVERY — Check the requested delivery method. Mail payment with completed application. For credit card payment, fax or mail the application and the Hauling Permit Office will contact you for payment when the permit is ready to be processed.

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1. Begin completing your application pdf with a selection of necessary fields. Collect all of the necessary information and make certain nothing is omitted!

va blanket permit application writing process described (stage 1)

2. The subsequent part would be to fill in all of the following fields: HAZARDOUS, VEHICLE ID LOCATION, LICENSE PLATE NUMBER, ISSUING STATE, VINSERIAL NUMBER last digits, Haul, Tow, Drive, Yes, TruckTrailer Combination, Straight Truck, VEHICLE AND LOAD, SIDE OVERHANG, HEIGHT, and Is the overhang evenly distributed.

va blanket permit application writing process shown (part 2)

3. In this specific stage, have a look at WEIGHT, DISTANCE, between axles, lbs, lbs, lbs, lbs, lbs, lbs, lbs, lbs, lbs, feet, feet, and feet. Every one of these should be completed with utmost accuracy.

The best way to prepare va blanket permit application step 3

People often make errors while completing WEIGHT in this area. Be certain to review what you type in right here.

4. Filling in CHECK ONE, All Unrestricted Routes Skip to, Specific route Complete Section A, I am STARTING at check appropriate, State Line, City, County, State Abbreviation, City Name, County Name, My DIRECTION will be check one, W on route, Provide additional starting point, The starting point is, and miles is vital in the next step - make sure you take your time and fill in each empty field!

Step number 4 in filling out va blanket permit application

5. While you approach the finalization of the document, there are actually a few more points to do. Notably, I further certify and affirm that, AUTHORIZED REPRESENTATIVE NAME, AUTHORIZED REPRESENTATIVE SIGNATURE, DATE mmddyyyy, DELIVERY For current pricing refer, DELIVERY check one NOTE For, USPS, and FAX should all be filled out.

Part # 5 for filling in va blanket permit application

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