Permit Order Form

Temporary permit requests can be submitted at any time, but will only be processed during regular business hours of 9.00am - 6.00pm EST Monday through Friday, excluding holidays. Permits are issued in order received and processing time varies from state to state.

*First Name: *Last Name:
*Phone Number: Alternate Phone Number:
Fax Number: *Email Address:
*Legal Name:
*Physical Address1: Address2:
*City: *State:
*Postal Code:
*DOT#: *EIN#:
*Unit#: *Vehicle Year:
*Make: *Vehicle Type:
*Hauling Automotive Fuel: *VIN:
*License Plate #: *Fuel Type:
*License Plate State: *License Plate Expiration Date:
*Unladen Weight: *Registered GVW:
*Owned/Leased: *Owner's Name if Leased:
*Number of Axles: *Driver's Name:

Permit Information

Permits are processed in the order received. Processing time may vary.

* First Permit Type:
*Start Date:
*Start Time(Eastern Standard Time):
*Number of Total Axles: *License Plate Expire Date:
*Estimated miles to be traveled in KY:
*License Plate Expiration Date:
*Highway of Entry: *From Where?:
*IFTA Account Number:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal Code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal Code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Pickup or Delivery:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Commodity Load Description:
*Axles #:
*Commodity Load Description: *License Plate Expiry Date:
*Commodity Load Description:
*Commodity Load Description:
*Axles #:
*Trailer Length: *Trailer Width:
*Trailer Height: *Destination:
*Number of Axles: *Estimated miles to be traveled in MT:
*Length: *Trailer Width:
*Height:
*Destination:
*Vehicle Type:
*Vehicle used in interstate?:
* For Hire?:
*Destination:
*Destination:
*Odometer Reading:
*Trailer Year: *Trailer Make:
*VIN: *License Plate:
Certificate of Liability must be faxed in.
*Trip City of Origin: *Wisconsin(WI) Destination City:
*Wisconsin(WI) Entry Point(Highway, CR, SR): *Trip Purpose:
*All routes in/out of state:
*All routes in/out of state:
*Business Type: *State of Incorporation:
*Date of Incorporation: *Officer Name:
*Officer Title:
Second Permit Type:
*Start Date:
*Start Time(Eastern Standard Time):
*Number of Total Axles: *License Plate Expire Date:
*Estimated miles to be traveled in KY:
*License Plate Expiration Date:
*Highway of Entry: *From Where?:
*IFTA Account Number:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Pickup or Delivery:
*Route used to enter state: *Route used to exit state:
*Vehicle Type:
*Vehicle used in interstate?:
* For Hire?:
*Entry Into State: *Exit Out of State:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Commodity Load Description:
*Axles #:
*Commodity Load Description: *License Plate Expiry Date:
*Commodity Load Description:
*Commodity Load Description:
*Axles #:
*Trailer Length: *Trailer Width:
*Trailer Height: *Destination:
*Number of Axles: *Estimated miles to be traveled in MT:
*Trailer Length: *Trailer Width:
*Trailer Height:
*Destination:
*Destination:
*Destination:
*Odometer Reading:
*Trailer Year: *Trailer Make:
*VIN: *License Plate:
Certificate of Liability must be faxed in.
*Trip City of Origin: *Wisconsin(WI) Destination City:
*Wisconsin(WI) Entry Point(Highway, CR, SR): *Trip Purpose:
*All routes in/out of state:
*All routes in/out of state:
*Business Type: *State of Incorporation:
*Date of Incorporation: *Officer Name:
*Officer Title:
Third Permit Type:
*Start Date:
*Start Time(Eastern Standard Time):
*Number of Total Axles: *License Plate Expire Date:
*Estimated miles to be traveled in KY:
*License Plate Expiration Date:
*Highway of Entry: *From Where?:
*IFTA Account Number:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Effective Date: *Insurance Postal code:
*Insurance Expiration Date: *License Plate Expiry Date:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Pickup or Delivery:
*Route used to enter state: *Route used to exit state:
*Entry Into State: *Exit Out of State:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Commodity Load Description:
*Axles #:
*Commodity Load Description: *License Plate Expiry Date:
*Commodity Load Description:
*Commodity Load Description:
*Axles #:
*Trailer Length: *Trailer Width:
*Trailer Height: *Destination:
*Number of Axles: *Estimated miles to be traveled in MT:
*Trailer Length: *Trailer Width:
*Trailer Height:
*Destination:
*Vehicle Type:
*Vehicle used in interstate?:
* For Hire?:
*Destination:
*Destination:
*Odometer Reading:
*Trailer Year: *Trailer Make:
*VIN: *License Plate:
Certificate of Liability must be faxed to Custom Permit Service
*Trip City of Origin: *Wisconsin(WI) Destination City:
*Wisconsin(WI) Entry Point(Highway, CR, SR): *Trip Purpose:
*All routes in/out of state:
*All routes in/out of state:
*Business Type: *State of Incorporation:
*Date of Incorporation: *Officer Name:
*Officer Title:
Fourth Permit Type:
*Start Date:
*Start Time(Eastern Standard Time):
*Number of Total Axles: *License Plate Expire Date:
*Estimated miles to be traveled in KY:
*License Plate Expiration Date:
*Highway of Entry: *From Where?:
*IFTA Account Number:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Effective Date: *Insurance Postal code:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Effective Date: *Insurance Postal code:
*Insurance Expiration Date: *License Plate Expiry Date:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Pickup or Delivery:
*Route used to enter state: *Route used to exit state:
*Entry Into State: *Exit Out of State:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Commodity Load Description:
*Axles #:
*Commodity Load Description: *License Plate Expiry Date:
*Commodity Load Description:
*Commodity Load Description:
*Axles #:
*Trailer Length: *Trailer Width:
*Trailer Height: *Destination:
*Number of Axles: *Estimated miles to be traveled in MT:
*Trailer Length: *Trailer Width:
*Trailer Height:
*Destination:
*Destination:
*Destination:
*Vehicle Type:
*Vehicle used in interstate?:
* For Hire?:
*Odometer Reading:
*Trailer Year: *Trailer Make:
*VIN: *License Plate:
Certificate of Liability must be faxed in.
*Trip City of Origin: *Wisconsin(WI) Destination City:
*Wisconsin(WI) Entry Point(Highway, CR, SR): *Trip Purpose:
*All routes in/out of state:
*All routes in/out of state:
*Business Type: *State of Incorporation:
*Date of Incorporation: *Officer Name:
*Officer Title:
Fifth Permit Type:
*Start Date:
*Start Time(Eastern Standard Time):
*Number of Total Axles: *License Plate Expire Date:
*Estimated miles to be traveled in KY:
*License Plate Expiration Date:
*Highway of Entry: *From Where?:
*IFTA Account Number:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Effective Date: *Insurance Postal code:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Effective Date: *Insurance Postal code:
*Insurance Expiration Date: *License Plate Expiry Date:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Pickup or Delivery:
*Route used to enter state: *Route used to exit state:
*Entry Into State: *Exit Out of State:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Commodity Load Description:
*Axles #:
*Commodity Load Description: *License Plate Expiry Date:
*Commodity Load Description:
*Commodity Load Description:
*Axles #:
*Trailer Length: *Trailer Width:
*Trailer Height: *Destination:
*Number of Axles: *Estimated miles to be traveled in MT:
*Trailer Length: *Trailer Width:
*Trailer Height:
*Destination:
*Vehicle Type:
*Vehicle used in interstate?:
* For Hire?:
*Destination:
*Destination:
*Odometer Reading:
*Trailer Year: *Trailer Make:
*VIN: *License Plate:
Certificate of Liability must be faxed in.
*Trip City of Origin: *Wisconsin(WI) Destination City:
*Wisconsin(WI) Entry Point(Highway, CR, SR): *Trip Purpose:
*All routes in/out of state:
*All routes in/out of state:
*Business Type: *State of Incorporation:
*Date of Incorporation: *Officer Name:
*Officer Title:
Sixth Permit Type:
*Start Date:
*Start Time(Eastern Standard Time):
*Number of Total Axles: *License Plate Expire Date:
*Estimated miles to be traveled in KY:
*License Plate Expiration Date:
*Highway of Entry: *From Where?:
*IFTA Account Number:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Postal code: *Insurance Effective Date:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Effective Date: *Insurance Postal code:
*Insurance Expiration Date: *License Plate Expiry Date:
*Insurance Policy#: *Insurance Carrier Name:
*Insurance Address1: Insurance Address2:
*Insurance City: *Insurance State:
*Insurance Effective Date: *Insurance Postal code:
*Insurance Expiration Date: *License Plate Expiry Date:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Pickup or Delivery:
*Route used to enter state: *Route used to exit state:
*Entry Into State: *Exit Out of State:
*Route used to enter state: *Route used to exit state:
*Route used to enter state: *Route used to exit state:
*Commodity Load Description:
*Axles #:
*Commodity Load Description: *License Plate Expiry Date:
*Commodity Load Description:
*Commodity Load Description:
*Axles #:
*Trailer Length: *Trailer Width:
*Trailer Height: *Destination:
*Number of Axles: *Estimated miles to be traveled in MT:
*Trailer Length: *Trailer Width:
*Trailer Height:
*Destination:
*Destination:
*Destination:
*Vehicle Type:
*Vehicle used in interstate?:
* For Hire?:
*Odometer Reading:
*Trailer Year: *Trailer Make:
*VIN: *License Plate:
Certificate of Liability must be faxed in.
*Trip City of Origin: *Wisconsin(WI) Destination City:
*Wisconsin(WI) Entry Point(Highway, CR, SR): *Trip Purpose:
*All routes in/out of state:
* All routes in/out of state:
*Business Type: *State of Incorporation:
*Date of Incorporation: *Officer Name:
*Officer Title:

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After you submit your permit order, we will invoice you via email.

Once payment is received, we will proceed with your order. If you have any questions, feel free to contact us at 803.386.0320



Permit Requests can be submitted at any time, but will only be processed during regular business hours of 9:00am - 6:00pm EST Monday through Friday, excluding holidays. Permits are issued in order received and processing time varies from state to state.

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