Motor Transportation Division



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Protecting Our New Mexico Highways

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Friday, July 25, 2008

State of New Mexico - Motor Transportation Division
Application for Excessive Size and Weight Permit

To aviod Delays: Please complete all information on this form and verify it is correct.
After you have filled in the necessary information click on the "Generate Application" button located on the bottom of this page.

Company, Movement & Vehicle Information

Company Name:

DOT#:

FEIN:

Address:

City/State/Zip

/ /

Company Contact

, Phone: ( ) -

How shall MTD send your permit

Description of Load:

(40 characters max)

Mobile Home Information:

Year:

Make:

Serial #:

Vin # (Last 4):

From:

Address: City: County: State: Zip:

To:

Address: City: County: State: Zip:

Route (Highway Numbers): Dates of Movement:

Towing Unit:

Year:	Make:	Unit #:	License #:
State:	VIN (last 4):	Gross Weight:	Width:
Height:	Overall Length:	Trailer Length:	Overhangs Front:
Overhangs Rear:

Axle Information

Instructions:

Weight............

Enter the weight of the axle group. (For example: Drives 40,000Lbs.,Trailer 40,000Lbs.)

Steering Axles............

Enter tire sizes if axle weight exceeds 13,000 lbs. or self propelled.

Spacing............

Enter the distance from the center of the steer axle to the center of the 2nd axle to the center of the 3rd axle to the center of the 4th axle, etc.

Permit Fees:
Single Trip:	$25.00
Multiple Trip:	$250.00
Police Escort: (per day)	$300.00
Liquid Haul
Single Trip:	$35.00
Multiple Trip:	$120.00
Permit Fees Total:

Group	1	2	3	4	5	6	7	8	9	10	Totals:
Weight
Number
Spacing

Additional Remarks:

(40 characters max)

Credit Card Information:
Please Note: Your Credit Card will not be charged until your application has been signed and faxed to the MTD OS/OW office.

Credit Card Type: American Express Discover Master Card Visa Transiever

Credit Card #: - - - Exp. Date:

Protecting Our New Mexico Highways

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