Replacement Plate, Decal, Unit Number Change, Delete Truck, Close Account

DOT Compliance Service Request Form

Note: This application does not include state fees. A $100 service fee applies for the first application and $50 for each additional vehicle.

Use this form to submit one or multiple service requests. Our team will process your request quickly and accurately.

Primary Contact Name: *

Legal Business Name: *

DOT Number (if applicable):

MC Number (if applicable):

Email *

Phone *

Driver’s License Number & State: *

Business EIN or Tax ID

Business Address

Select Service Needed

Select all that apply. You may choose more than one service in a single submission.

Replacement Plate

Replacement Decal

Unit Number Change

Delete Truck

Close Account

Other

How many total services are you requesting today?

1
2
3
4
5
6
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List is empty.

Other (Please specify):

Service Details

Only complete the section(s) based on your selection above.

Replacement Plate / Decal

Plate or Decal Number to Replace:

VIN of Associated Vehicle:

Reason for Replacement:

Lost
Damaged
Stolen
Other
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Other (please specify):

Upload Proof of Loss (if applicable):

Unit Number Change

Old Unit Number:

New Unit Number:

VIN of Vehicle:

Upload Registration or Support Document (optional):

Delete Truck from Fleet

VIN of Truck to Remove:

Plate Number:

Reason for Removal:

Sold
Traded
Scrapped
Other
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List is empty.

Other:

Upload Supporting Document (e.g., Bill of Sale):

Close Account

IRP Account Number:

Reason for Closure:

Last Date of Operation:

Upload Any Final Paperwork:

Supporting Documents

Please upload all supporting documents required for your selected services:

Driver’s license or ID *

Title or Lease Agreement

Insurance certificate

Please select whether this is your first application $100 or an additional submission $50, and enter your payment details below to complete your request. *

$ 100

$ 50

*100% secure & safe payments*

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