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Get NM Application for Excessive Size and Weight Single Trip Super Load 2013-2024

STATE OF NEW MEXICO Revised 9-23-13 MOTOR TRANSPORTATION DIVISION APPLICATION FOR EXCESSIVE SIZE AND WEIGHT SINGLE TRIP- SUPER LOAD FAX NUMBER OR EMAIL DATE SUBMITTED FILL OUT FORM CORRECTLY AND COMPLETELY OR APPLICATION WILL BE REJECTED COMPANY NAME DOT ADDRESS FEIN CITY STATE CONTACT NAME ZIP CODE PHONE NUMBER DESCRIPTION OF LOAD ORIGIN CITY OR STATE DATE OF MOVEMENT DESTINATION CITY OR STATE ROUTE REQUESTED VEHICLE INFO YEAR MAKE LICENSE VIN LAST 4 OVERALL DIMENSIONS LOADS MUST MEET CRITERIA 18 WIDE 18 HIGH 120 LONG 200 000LBS FRONT REAR GROSS WEIGHT WIDTH LENGTH HEIGHT OVERHANG PLEASE SUBMITT AXLE INFORMATION IF OVERWEIGHT DRAWING WITH AXLE INFO AND WEIGHTS INSTRUCTIONS WEIGHT ENTER THE WEIGHT OF THE AXLE GROUP STEERING AXLES ENTER THE TIRE SIZES IF THE STEERING AXLE WEIGHT EXCEEDS 13000 LBS SPACINGS ENTER THE DISTANCE FROM THE CENTER OF THE FIRST AXLE TO THE CENTER OF THE NEXT AXLE ETC. PLEASE STATE IF AXLES ARE TRUNIONS IN ADDITION TO SUPER LOAD APPLICATION ADDITIONAL FORMS MUST BE INCLUDED ROUTE SURVEY CHECKLIST IF REQUIRED TO FIND FORMS LOG ON TO www. nmmtdpolice. org PERMIT FEES ADDITIONAL TON/MILE FEE WILL BE CHARGED WHEN EXCEEDING 86 400LBS SINGLE TRIP 25. 00 CREDIT CARD INFORMATION CREDIT CARD NUMBER EXP. DATE SIGNATURE OF APPLICANT THERE WILL BE A 3. 75 CONVENIENCE FEE FOR EVERY CREDIT CARD TRANSACTION Contact Number 505-476-2475 Fax applications to 505. 476. 2476 505. 476. 2479 A CERTIFICATE OF LIABILITY INSURANCE LONG FORM MUST BE FAXED WITH THIS APPLICATION. PLEASE STATE IF AXLES ARE TRUNIONS IN ADDITION TO SUPER LOAD APPLICATION ADDITIONAL FORMS MUST BE INCLUDED ROUTE SURVEY CHECKLIST IF REQUIRED TO FIND FORMS LOG ON TO www. nmmtdpolice. org PERMIT FEES ADDITIONAL TON/MILE FEE WILL BE CHARGED WHEN EXCEEDING 86 400LBS SINGLE TRIP 25. nmmtdpolice. org PERMIT FEES ADDITIONAL TON/MILE FEE WILL BE CHARGED WHEN EXCEEDING 86 400LBS SINGLE TRIP 25. 00 CREDIT CARD INFORMATION CREDIT CARD NUMBER EXP. DATE SIGNATURE OF APPLICANT THERE WILL BE A 3. 75 CONVENIENCE FEE FOR EVERY CREDIT CARD TRANSACTION Contact Number 505-476-2475 Fax applications to 505. 00 CREDIT CARD INFORMATION CREDIT CARD NUMBER EXP. DATE SIGNATURE OF APPLICANT THERE WILL BE A 3. 75 CONVENIENCE FEE FOR EVERY CREDIT CARD TRANSACTION Contact Number 505-476-2475 Fax applications to 505. 476. 2476 505. 476. 2479 A CERTIFICATE OF LIABILITY INSURANCE LONG FORM MUST BE FAXED WITH THIS APPLICATION. PLEASE STATE IF AXLES ARE TRUNIONS IN ADDITION TO SUPER LOAD APPLICATION ADDITIONAL FORMS MUST BE INCLUDED ROUTE SURVEY CHECKLIST IF REQUIRED TO FIND FORMS LOG ON TO www. nmmtdpolice. org PERMIT FEES ADDITIONAL TON/MILE FEE WILL BE CHARGED WHEN EXCEEDING 86 400LBS SINGLE TRIP 25. 00 CREDIT CARD INFORMATION CREDIT CARD NUMBER EXP. DATE SIGNATURE OF APPLICANT THERE WILL BE A 3. 75 CONVENIENCE FEE FOR EVERY CREDIT CARD TRANSACTION Contact Number 505-476-2475 Fax applications to 505. nmmtdpolice. org PERMIT FEES ADDITIONAL TON/MILE FEE WILL BE CHARGED WHEN EXCEEDING 86 400LBS SINGLE TRIP 25. 00 CREDIT CARD INFORMATION CREDIT CARD NUMBER EXP. DATE SIGNATURE OF APPLICANT THERE WILL BE A 3. 75 CONVENIENCE FEE FOR EVERY CREDIT CARD TRANSACTION Contact Number 505-476-2475 Fax applications to 505. 476. 2476 505. 476. 2479 A CERTIFICATE OF LIABILITY INSURANCE LONG FORM MUST BE FAXED WITH THIS APPLICATION. .

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