Secure Online Application for Trip/Fuel Permit Processing

To protect your information, we use industry-standard Secure Sockets Layer encryption/security technology for data transfers. Our information systems are treated with the highest regard for security. Access to customer information is strictly limited to authorized personnel.

COMPANY INFORMATION Motor Carrier's Name Motor Carrier's Address Telephone Number Fax Number Contact Name Email Address Federal Tax ID Number US DOT Number Driver's Name Date of Plate Expiration      PERMIT INFORMATION Permit(s) Being Ordered for Which State(s)   Type(s) of Permit(s) (Trip, Fuel or Both) Is Insurance on File (if applicable)? Requested Start Date Start Time      POWER UNIT (TRUCK) INFORMATION Unit Number (If Applicable) Year Manufacturer (Make) Model VIN (Serial) No. of Power Unit (Truck) License Plate Number State of Jurisdiction of License Plate Registered Weight Number of Axles on Power Unit Unladen Weight Gas or Diesel Owned or Leased     Questions about this form? Call 1-888-470-4747   Click the 'Reset' button to clear form fields.   Back to ATS Website Click the 'Submit' button to send your information to our secure server.