Canadian Weight Limits Permit Application Form
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1STATE OF MAINE
BUREAU OF MOTOR VEHICLES
Canadian Weight Limits Permit Application
Permit Information:
Permit Type:
New
Renewal of Permit # _________
Vehicle Transfer from Permit # _________
(Please check one)
Location:
Baileyville
Madawaska
Van Buren
(Please check one)
Permit Effective Date: _________________________
Permit Expiration Date: __________________
(All permits expire on the last day of the month.)
Motor Carrier Information:
Legal Name: ___________________________________
USDOT #:_______________________
___________________________________
IRP Account #:___________________
Legal Address: _________________________________
IFTA Account#:___________________
_________________________________
Contact Name: ___________________
Mailing Address: ________________________________
Telephone: ______________________
________________________________
Fax: ____________________________
Vehicle Information:
Registrant: ____________________________________
Estimated Number of Trips: __________
(If different from above)
Registration Plate Number:_______________________
Jurisdiction: ______________________
Make: ________________________________________
Year: ___________________________
Vehicle Identification Number: ____________________________________________________________
Requested Configuration:
6 axle
8 axle/B-train double
7 axle (Baileyville location only)
Multi Permit
(Please check one)
Maine Registered Weight must be 100,000 lbs. Fines for the violation of the gross weight limits
of this permit are calculated from 100,000 lbs., and can be substantial.
Fee Calculation:
6 axle combination:
$10 per month/$120 for one year maximum
8 axle combination/B-train double:
$40 per month/$480 for one year maximum
7 axle combination:
$40 per month/$480 for one year maximum
Multiconfiguration Permit:
$40 per month/$480 for one year maximum
Transfer Fee:
$10 per permit
Fax fee:
$3 per permit
Total Fee Included:
_______________________________________________
Credit Card Number:
________________________________Exp Date_______
Card Holders Name:
_______________________________________________
Card Holders Signature:
_______________________________________________
Applicant’s Printed Name: ___________________________________________Title: _______________________
Applicant’s Signature: ____________________________________________________
For Office Use Only:
USDOT# ________
IRP# ________
IFTA# ________
UCR ________
SAFETY ________
INTLS ________
101 Hospital Street, 29 State House Station, Augusta, ME 04333-0029
Phone (207) 624-9000 Ext. 52134 Fax (207) 622-5332 TTY Users call Maine relay 711
Email: overpermits@maine.gov
MV-203 Rev 7/2015
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