Fillable Permits may be revised up to 2 days

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Permits may be revised up to 2 days

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Country of origin: OTHERS
File type: PDF

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MISSOURI DEPARTMENT OF TRANSPORTATION
MOTOR CARRIER SERVICES
830 MoDOT DR., P.O. BOX 270
JEFFERSON CITY, MO 65102-0270
PHONE: (800) 877-8499
FAX: (573) 751-7408
WEB ADDRESS: www.modot.org/mcs
Permit Revision Request Form
Complete and fax to 573-751-7408
Please complete all applicable fields before sending to MoDOT Motor Carrier Services.
Permits may be revised up to 2 days after start date. There is a $2.00 fee.
USDOT#
Customer Account Number
Permit Type
Single Trip Annual Blanket
Company Name
Contact Name and Telephone Number
Permit Number or Application Number
Original Power Unit License Number
Date Permit Issued
Date Permit is to Start
Payment Method *
Escrow Account
Visa MasterCard
Discover American Express
Information as Printed on Original Permit
Requested Revisions
TRUCK LIC #, YEAR, MAKE & VIN #:
TRAILER LIC #, YEAR, MAKE & VIN #:
LOAD WIDTH:
LOAD HEIGHT:
LOAD LENGTH:
OVERALL WIDTH:
OVERALL LENGTH:
OVERALL HEIGHT:
LOAD DESCRIPTION:
LOAD MAKE:
LOAD SERIAL #:
OVERHANG FRONT & REAR:
TRAILER/LOAD LENGTH:
WEIGHTS & SPACINGS:
ROUTE:
** Check here if you want the vehicle information permanently changed
*Please do not provide your credit card number. A Motor Carrier Services representative will contact
you, or you may access the payment portal on-line at https://mcs.modot.mo.gov/mce/login.htm.
Revised permit will be sent to the original location if no alternate location is requested.
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Permits may be revised up to 2 days

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Completed 20 July 2020

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