Fillable Single trip permit application (Arizona Department of Transportation)

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Single trip permit application (Arizona Department of Transportation)

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The Single trip permit application (Arizona Department of Transportation) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Arizona Department of Transportation

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96
-0192 R02/15
azdot.gov
You must have a current, foreign-based registration and IFTA credential to purchase the permit.
Permit Type
Registration Motor Carrier Use Fuel
Permit Effective Date
Fax Number
( )
US DOT Number
IFTA Number
IRP Number
Company Name
Insurance Company
Contact Person Name
Title
Contact Person E-mail
( )
Tractor Information
Axles (total)
GVW (total weight)
Vehicle Identification Number
Unit Number
Tractor Plate
State
Make
Body Style
Year
Route Information
Traveling From
Traveling Through
Traveling To
Miles Traveling In AZ
Route (list state and federal highways only)
SINGLE TRIP PERMIT
APPLICATION
Commercial Permits
14370 W Van Buren Street
Goodyear AZ 85338
Phone 602-771-2960 Fax 602-272-1887
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Single trip permit application (Arizona Department of Transportation)

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Completed 29 September 2020

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