New User Registration Request Form

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GotPermits.com - New User Registration Request Form

Please complete the following fields and click the Submit button to send your new user registration request. You will be notified of the acceptance of the request. Your request will automatically begin its way through a series of steps designed to respond to your request as soon as possible. Once approved, you will be able to immediately use the site and take advantage of all the benefits of the site including online routing and full system issuance.

Contact Email Address
Re-type Contact Email Address
Contact Name
Company Name
USDOT Number
Federal Tax ID Number
Address
City
State / Province
Zip
Phone
Fax
Permit Service	** Select this check box if you order permits for other companies
Request WV Permits	** Select this check box if you might ever request OS/OW permits for West Virginia
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Please note that if you are a carrier exempt from state permit fees, this site cannot authorize your exemption from permit or convenience fees. You can request permits via the site but you must require in-state review so the state can manually change your fees.