72-HOUR CHARTER SCHOOL BUS TRIP PERMIT APPLICATION
Wisconsin Department of Transportation
MV2449 1/2017
SB-CT
Applicant Name Print or Type
WI #
1
2
3
4
5
6
7
8
FEE CALCULATION
Base Fee
Business Address
(Area Code) Telephone Number
# Permits Requested X
City, State, ZIP Code
TOTAL FEE ENCLOSED
the regulations pertaining to this operation on Wisconsin highways under a 72-Hour Charter
FEE REMITTANCE
Make remittance payable to
Registration Fee Trust in the amount
of $10.00 for each permit requested.
X
(Applicant or Authorized Official of Firm)
GENERAL INSTRUCTIONS
72-hour trip permits are available for school buses. In lieu of obtaining permanent registration credentials, you may purchase a 72-hour
charter school bus trip permit for intrastate operations only on Wisconsin highways. Each permit costs $10.
The Department of Transportation will send the requested number of permits upon receipt of this application and the permit fee(s).
Each permit must be either typed or printed legibly in ink with all required information completely filled out. Part 1 is to be carried in the
school bus driver compartment and must be displayed to law enforcement officers upon request. Part 2 is to be retained by the carrier
and Part 3 needs to be mailed to Wisconsin Department of Transportation, SB Permit Unit P.O. Box 7911, Madison, WI 53707-7911.
Each permit is valid for 72 hours from date of certification and is invalid if altered. Charter school bus trip permits are not transferable
and can be used only by the carrier to whom the permit is issued.
No permit can be purchased or remain in force unless insurance is on file with this department in compliance with s.194.41 Wis. Stats.
Clear Form
$10.00
$0.00
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