IFTA / IRP Registration Assistance Application Form

Note: This application does not include state fees. A $100 flat service fee applies per application; applicable state permit costs will be billed separately.

Business & Contact Information

Legal Business Name: *

Doing Business As:

Address

Mailing Address *

City

State

Country

Postal code

Fleet Information

Vehicle Weight (each): *

Estimated Annual Miles (per vehicle): *

List States of Operating States / Provinces: (Abbreviations): *

Service Request Details

Select Assistance Type: *

Other (please specify):

Supporting Documents

Please upload clear copies of the following:

Driver License/Owner's CDL *

USDOT Registration / MC Authority (if applicable) *

MC / MX Number Certificate (if applicable)

Proof of Insurance *

Previous IFTA / IRP Credentials (if renewing)

Vehicle List with Year, Make, Model, VIN

Upload Any Relevant Addition Files

Service Fee:

IFTA Registration Assistance – $100
IRP Registration Assistance – $100
Both IFTA & IRP – $200

Please submit your payment based on the type of assistance selected above. Pay Now for your IFTA / IRP Registration Assistance Application and enter your payment details below to complete your request. *

$ 100

$ 200

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