*Gross/Combined
#
Plate #
Year of Vehicle
Make of Vehicle
Fuel Type
Vehicle Weight
VIN #
Axles
1
2
3
4
5
6
7
8
9
10
*
Will vehicle(s) be used in combination with a trailer?
Yes
No
Mark the jurisdictions in which you travel, in the section below. This section must be completed
.
Note: Under IFTA Articles of Agreement, R305 Licensing Requirement
“Any person based in a member jurisdiction operating a qualified motor vehicle(s) in two or more jurisdiction is required to license under this agreement…”
All Jurisdictions
Massachusetts
Tennessee
Alabama
Michigan
Texas
Alaska
Minnesota
Utah
Arizona
Mississippi
Vermont
Arkansas
Missouri
Virginia
California
Montana
Washington
Colorado
Nebraska
West Virginia
Connecticut
Nevada
Wisconsin
Delaware
New Hampshire
Wyoming
D.C.
New Jersey
Florida
New Mexico
Canadian Provinces
Georgia
New York
Alberta
Idaho
North Carolina
British Columbia
Illinois
North Dakota
Manitoba
Indiana
Ohio
New Brunswick
Iowa
Oklahoma
Newfoundland
Kansas
Oregon
Nova Scotia
Kentucky
Pennsylvania
Ontario
Louisiana
Rhode Island
Quebec
Maine
South Carolina
Prince Edward Island
Maryland
South Dakota
Saskatchewan
Definitions
Bulk Storage-Any fuel tank storage or container greater than 55 gallons. The fuel tank supply tanks of your
motor vehicles or unlicensed equipment is not considered bulk storage.
DOT-US Department of Transportation
Jurisdiction-A state of the United States, the District of Columbia (D.C.), or a province, Northern or Yukon
territories of Canada
RT129-Internet (Rev. 11/2008)