Get Modot Blanket Permit Form

Completing the Modot Blanket Permit Form online can be straightforward with the right guidance. This guide provides step-by-step instructions to help users navigate each section of the form, ensuring that all necessary information is accurately submitted.

Follow the steps to effectively complete the online form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your USDOT number. If you do not require a USDOT number, enter 'XX'. For assistance, contact the FMCSA.
3. Provide the name of the contact person who can answer questions regarding the application.
4. Input the contact person's telephone number for follow-up inquiries.
5. Enter the escrow account number, if applicable, assigned by MoDOT Motor Carrier Services.
6. Select your payment method by checking the appropriate box for escrow account, cash, check, or credit card.
7. Fill in your legal name as the applicant.
8. If applicable, provide your Doing Business As (DBA) name, ensuring it is registered with the Secretary of State office.
9. Enter your Federal Identification Number (FEIN) or Social Security Number as required.
10. Indicate your customer type by checking one of the listed options.
11. Provide the date you organized or incorporated your business and your Missouri registration number, if applicable.
12. Enter your physical address, including city, state, and zip code.
13. If different, input your mailing address along with its city, state, and zip code.
14. Include your email address for correspondence.
15. List your preferred telephone number.
16. Specify the start date for your permit.
17. Select your preferred method for sending the permit by checking the appropriate box for fax, email, or mail.
18. Complete the vehicle information section, providing the license number, state, VIN, year, and make of the vehicle.
19. If revising a current year permit, check 'Yes' and input the original permit or application number and original license number; otherwise, select 'No'.
20. Check the appropriate boxes for each type of blanket permit being requested.
21. If applicable, enter individual axle weights and spacings for emergency response vehicles.
22. If operating under own power, provide additional information as required in the section.
23. Finally, print your name, date, and sign the certification, providing your title before submission.
24. Once filled out, save changes, download, print, or share the form as needed.

Start completing the Modot Blanket Permit Form online today!