Maine Trip Permit Application Form PDF Details

When commercial vehicle operators in Maine need to travel temporarily, the Maine Trip Permit Application form is their go-to tool for legal compliance. Managed by the Department of the Secretary of State Maine Bureau of Motor Vehicles, this critical document facilitates the issuance of a 72 Consecutive Hour Trip Permit, ensuring that those operating within or through the state for a short duration do so legally. The form offers options for an IRP Trip Permit, an IFTA Fuel Trip Permit, or a combination of both, with fees set at $25.00 plus a $3.00 fax fee for IRP, $50.00 plus a $3.00 fax fee for IFTA, and $75.00 plus a $3.00 fax fee for the combination permit. Essential carrier information, including the registrant name, address, and US DOT Number, is required, alongside vehicle details such as the year, make, and VIN number. Also, a copy of the vehicle's valid registration must be submitted. Moreover, the person requesting the trip permit must provide contact details, and payment information, including type of card, account number, and cardholder information, is crucial for processing. Located at 101 Hospital Street, 29 State House Station, Augusta, ME, and available through various contact methods, the Bureau ensures accessibility for applicants. This form is an indispensable resource for ensuring that commercial transportation activities within Maine's borders adhere to regulatory requirements, streamlining the process for short-term travel through the state.

QuestionAnswer
Form NameMaine Trip Permit Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names72 Hour Trip Permit Application trip pemit maine form

Form Preview Example

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