Mv2612 Form PDF Details

Navigating the complexities of transporting oversized or heavy loads across state lines requires precise adherence to legal guidelines, and the MV2612 form plays a crucial role in this process. Tailored for individuals or businesses seeking to obtain a multiple trip permit in Wisconsin, this form caters to a broad spectrum of loads—from miscellaneous equipment and machinery to specific items like boats or raw forest products. Detailed sections prompt the applicant to provide comprehensive information about the owner or lessee, the load itself, and the vehicle, including its size and weight. Furthermore, it addresses insurance requirements and, if applicable, axle weight and spacing for certain types of loads, ensuring that the proposed transport adheres to safety and regulatory standards. By meticulously outlining desired permit parameters, including effective dates and specific routes, the MV2612 form ensures that applicants can secure the necessary authorization for their transport needs, ultimately facilitating smooth and lawful interstate transit of large or heavy articles.

QuestionAnswer
Form NameMv2612 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmv2612, wi multiple permit, multiple permit wis, wisconsin mv2612 permit

Form Preview Example

MULTIPLE TRIP PERMIT APPLICATION

To transport large / heavy articles

MV2612 5/2006 s.348.26(2), (3) Wis. Stats.

Complete a Separate Application for Each Power Unit

Section A - Customer

Please print clearly or type.

Log No.-For Dept./Commercial Permit Service Use ONLY

Mail To: Wisconsin Department of Transportation Permit Unit

PO Box 7980

Madison, WI 53707-7980

1.

Permit Customer No. - If Available

Telephone: 608-266-7320

PC -

Make check payable to: Registration Fee Trust

 

 

 

 

2.

Legal Name - Vehicle Owner or Lessee

Doing Business As (D/B/A)

Mailing Address

Federal Employer Identification No.

U.S. DOT Number

City

State

ZIP Code

Contact Name for DOT to call if questions / Area Code-Telephone No.

Section B - Load - Check only ONE - Please complete a separate application for each permit type desired for this power unit.

Miscellaneous equipment, machinery, and materials; or vehicle

Garbage or refuse, recyclable scrap s.348.27(9r), s.348.27(12)

under its own power (ex.: construction equipment) s.348.27(2)

Michigan border (misc. commodities) s.348.27(9)

Boat s.348.27(2) Wis. Stats.

 

Potatoes for seed s.348.27(9t)

Fruits, vegetables, raw forest products s.348.27(9m)(a)1

Grain, coal, iron ore concentrates or alloyed iron s.348.27(10)

Raw forest products only at 98,000 s.348.27(9m)(a)4

 

Other- Specify:

 

Permit Effective Date - Desired Start Date:

 

 

 

Number of Months Desired

When application received at Wisconsin Department of Transportation

 

 

 

 

 

 

 

 

 

 

List other date in future:

 

 

(Not to exceed 60 days in the future)

 

 

 

 

 

 

 

 

Section C - Vehicle

Power Unit - Both Plate/State and VIN must be identified

Plate

State

Vehicle Identification Number (VIN)

__ Truck-tractor

Year

Make

Axles

Unit

 

 

 

__ Truck

 

 

 

 

 

 

 

 

 

__ Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Towed Vehicle:

Check this box if you are towing a vehicle For Cranes: If you are using a dolly, is it:

Non-steerable

Steerable

Identify both Plate/State and VIN below for Permit Type: "Potatoes for seed" ONLY

Plate

State

Vehicle Identification Number (VIN)

__ Semi-Trailer

Year

Make

Axles

Unit

 

 

 

__ Full Trailer

 

 

 

 

 

 

 

 

 

 

 

 

Section D - Size - Overall Permit Size(s) and Weight Desired for Vehicle AND Load

Length

Width

Height

Weight

Section E Insurance - The customer has the insurance coverage indicated in full force and effect. Check Group A or Group B.

Group A - Combined Single Limit $750,000

Group B - Combined Single Limit $1,000,000

Section F - Axle Weight/Spacing - Tires - by axle, front to rear - Complete ONLY if your:

Load from the above list is "Garbage or refuse, recyclable scrap", or "Potatoes for seed"

Power unit is an oversize / overweight self-propelled vehicle such as a crane, well-digger, etc.

Axle Number

1 (front)

2

3

4

5

6

7

8

Number of Pneumatic Tires

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Per Axle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maximum Gross Weight

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Per Axle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spacing Between Axles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

Section G - Route - If applicable, describe on a separate sheet and attach.

Acceptance of Conditions: I, the customer or authorized agent, certify that the statements contained in the application are true and correct. I understand that any multiple trip permit is granted subject to the conditions stated in Chapter Trans. 230, 251, 253, 255, 258, 259, and / or 269 WI Admin. Code and if granted a permit, I will comply with all terms and conditions.

X

Transfer - Give previous permit number

 

(Customer or Authorized Agent)

(Date)

 

 

 

 

FOR DEPARTMENT USE ONLY - Permit Numbers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Step no. 1 of filling out multiple permit wis

2. Right after finishing this section, go to the next stage and enter the essential details in all these fields - Towed Vehicle Check this box if, For Cranes If you are using a, Identify both PlateState and VIN, Plate, State, Vehicle Identification Number VIN, SemiTrailer Full Trailer, Year, Make, Axles, Unit, Section D Size Overall Permit, Height, Width, and Weight.

Unit, Weight, and Year of multiple permit wis

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