Form Mo 605 0346 PDF Details

Understanding the MO 605 0346 form is essential for those navigating the complexities of the Missouri Department of Transportation's Motor Carrier Services. This particular document serves as a Mileage Registration Form, crucial for the registration and legal operation of motor carrier fleets within Missouri and beyond. It details the necessary information required from motor carriers, including the number of power units, trailers, and converter gears, along with the total registration fee. Additionally, the form requires carriers to report their fleet mileage for a specific reporting period, aiming to ensure accurate licensing across various jurisdictions. Significantly, it not only serves as a financial document but also as a compliance measure, mandating the registrants' acknowledgment of federal and state motor carrier safety regulations and hazardous materials regulations. With sections dedicated to indicating jurisdictions where the license is sought, estimated mileage, and a provision for those involved in lease agreements, the MO 605 0346 form stands as a comprehensive tool to facilitate the seamless operation of motor carriers. It underscores the importance of maintaining proper vehicle registration and adherence to safety standards, which is vital for the safe and legal transportation of goods and services across state lines and within Missouri itself.

QuestionAnswer
Form NameForm Mo 605 0346
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmissouri tpopp form printable, mo dot form 605 0346, MD, blank form mo 605 0346

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MISSOURI DEPARTMENT OF TRANSPORTATION MOTOR CARRIER SERVICES

P. O. BOX 893, 1320 CREEK TRAIL DRIVE JEFFERSON CITY, MO 65102-0893 PHONE: (573) 751-6433 FAX: (573) 751-0916 WEB ADDRESS: www.modot.org/mcs

MILEAGE REGISTRATION FORM

JURISDICTIONAL USE ONLY

NUMBER OF POWER UNITS

NUMBER OF TRAILERS

REGISTRATION FEE DATE

 

 

 

NUMBER OF CONVERTER GEARS

TOTAL ALL UNITS

EXAMINED BY/DATE

 

 

 

NAME OF REGISTRANT

ACCOUNT NUMBER

FLEET NUMBER

REGISTRATION YEAR

DBA NAME

Enter the fleet mileage for the reporting period. This is the mileage traveled from July 1 of the previous calendar year through June 30 of the current year.

Enter an X in the box in front of each jurisdiction for which you are applying for license.

X

JURISDICTION

EST

MILEAGE

2ND YEAR

EST.

 

 

 

 

 

 

AK (ALASKA)

 

 

 

 

 

 

 

 

 

AL (ALABAMA)

 

 

 

 

 

 

 

 

 

AR (ARKANSAS)

 

 

 

 

 

 

 

 

 

AZ (ARIZONA)

 

 

 

 

 

 

 

 

 

CA (CALIFORNIA)

 

 

 

 

 

 

 

 

 

CO (COLORADO)

 

 

 

 

 

 

 

 

 

CT (CONNECTICUT)

 

 

 

 

 

 

 

 

 

DC (DIST. COLUMBIA)

 

 

 

 

 

 

 

 

 

DE (DELAWARE)

 

 

 

 

 

 

 

 

 

FL (FLORIDA)

 

 

 

 

 

 

 

 

 

GA (GEORGIA)

 

 

 

 

 

 

 

 

 

IA (IOWA)

 

 

 

 

 

 

 

 

 

ID (IDAHO)

 

 

 

 

 

 

 

 

 

IL (ILLINOIS)

 

 

 

 

 

 

 

 

 

IN (INDIANA)

 

 

 

 

 

 

 

 

 

KS (KANSAS)

 

 

 

 

 

 

 

 

 

KY (KENTUCKY)

 

 

 

 

 

 

 

 

 

LA (LOUISIANA)

 

 

 

 

 

 

 

 

 

MA (MASSACHUSETTS)

 

 

 

 

 

 

 

 

 

MD (MARYLAND)

 

 

 

 

 

 

 

 

 

ME (MAINE)

 

 

 

 

 

 

 

 

 

MI (MICHIGAN)

 

 

 

 

 

 

 

 

 

MN (MINNESOTA)

 

 

 

MO (MISSOURI)

MS (MISSISSIPPI)

MT (MONTANA)

MX (MEXICO)

NC (NORTH CAROLINA)

ND (NORTH DAKOTA)

NE (NEBRASKA)

NH (NEW HAMPSHIRE)

NJ (NEW JERSEY)

NM (NEW MEXICO)

NV NEVADA)

X

JURISDICTION

EST

MILEAGE

2ND YEAR

EST.

 

 

 

 

 

 

NY (NEW YORK)

 

 

 

 

 

 

 

 

 

OH (OHIO)

 

 

 

 

 

 

 

 

 

OK (OKLAHOMA)

 

 

 

 

 

 

 

 

 

OR (OREGON)

 

 

 

 

 

 

 

 

 

PA (PENNSYLVANIA)

 

 

 

 

 

 

 

 

 

RI (RHODE ISLAND)

 

 

 

 

 

 

 

 

 

SC (SOUTH CAROLINA)

 

 

 

 

 

 

 

 

 

SD (SOUTH DAKOTA)

 

 

 

 

 

 

 

 

 

TN (TENNESSEE)

 

 

 

 

 

 

 

 

 

TX (TEXAS)

 

 

 

 

 

 

 

 

 

UT (UTAH)

 

 

 

 

 

 

 

 

 

VA (VIRGINIA)

 

 

 

 

 

 

 

 

 

VT (VERMONT)

 

 

 

 

 

 

 

 

 

WA (WASHINGTON)

 

 

 

 

 

 

 

 

 

WI (WISCONSIN)

 

 

 

 

 

 

 

 

 

WV (WEST VIRGINIA)

 

 

 

 

 

 

 

 

 

WY (WYOMING)

 

 

 

 

 

 

 

 

 

AB (ALBERTA)

 

 

 

 

 

 

 

 

 

BC (BRIT. COLUMBIA)

 

 

 

 

 

 

 

 

 

MB (MANITOBA)

 

 

 

 

 

 

 

 

 

NB (NEW BRUNSWICK)

 

 

 

 

 

 

 

 

 

NL (NEW FOUNDLAND)

 

 

 

 

 

 

 

 

 

NS (NOVA SCOTIA)

 

 

 

 

 

 

 

 

 

NT (NORTHWEST TERR.)

 

 

 

 

 

 

 

 

 

ON (ONTARIO)

 

 

 

 

 

 

 

 

 

PE (PRINCE ED. IS.)

 

 

 

 

 

 

 

 

 

PQ (QUEBEC)

 

 

 

 

 

 

 

 

 

SK (SASKATCHEWAN)

 

 

 

 

 

 

 

 

 

YT (YUKON TERR.)

 

 

 

 

 

 

 

 

TOTAL ACTUAL FLEET MILES

TOTAL ACTUAL FLEET MILES

PLUS 1ST YEAR EST

TOTAL ACTUAL FLEET MILES

PLUS 1ST & 2ND YEAR EST

ARE YOUR VEHICLES INVOLVED IN A LEASE AGREEMENT?

YES

NO

IF YES, INDICATE NAME AND ADDRESS OF LESSEE:

________________________________________________________

Any personal motor vehicle record information is withheld from purchase or release for public use or bulk mailing except as provided by law.

BY SIGNING BELOW, I ACKNOWLEDGE THE FOLLOWING:

1.I HEREBY DECLARE IF THE JURISDICTION BOXES ARE NOT COMPLETE THAT I HAVE NO ACTUAL MILEAGE TO REPORT AND AGREE TO THE ESTIMATED MILEAGE USED BY MOTOR CARRIER SERVICES TO FIGURE MY REGISTRATION FEES.

2.I HEREBY DECLARE THAT I HAVE KNOWLEDGE OF THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS (49 CFR PARTS 40 and 382, 386 AND 388 THROUGH 399) INCLUDING HIGHWAY RELATED PORTIONS OF THE FEDERAL HAZARDOUS MATERIALS REGULATIONS (49 CFR 107,171-173,177 AND 178)

OR COMPATIBLE STATE RULES, REGULATIONS, STANDARDS, AND ORDERS APPLICABLE TO MOTOR CARRIER SAFETY, INCLUDING HIGHWAY TRANSPORTATION AND HAZARDOUS MATERIALS.

3.THE UNDERSIGNED, UNDER OATH, SWEARS UNDER PENALTY OF PERJURY OF THE LAWS OF THE STATE OF MISSOURI IN REGARD TO MAKING A FALSE DECLARATION TO A PUBLIC OFFICIAL, THAT MY FUTURE VEHICLE REGISTRATION FORM(S), FOR THE ABOVE REFERENCED YEAR, WILL BE TRUE AND CORRECT AND THAT VEHICLE FINANCIAL RESPONSIBILITY REQUIRED BY STATE LAW WILL BE IN EFFECT AND MAINTAINED ON VEHICLES LISTED ON THESE APPLICATIONS.

4.THE SIGNATURE BELOW SHALL BE CONSIDERED A SIGNATURE TO UNSIGNED VEHICLE REGISTRATION FORM(S) AND BECOMES PART OF YOUR INTERNATIONAL REGISTRATION PLAN (IRP) ACCOUNT. I UNDERSTAND THAT I AM REQUIRED TO PERSERVE THE INDIVIDUAL VEHICLE DISTANCE RECORDS AND SOURCE DOCUMENTS ON WHICH MY INTERNATIONAL REGISTRATION PLAN IS BASED FOR THREE YEARS.

AUTHORIZED SIGNATURE

X_____________________________________

DATE

MO 605-0346 (07-08) (0347)

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