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Company Name
DBA Name
City
State
CONTACT INFORMATION
Name
Title/Position
Phone
Email Address
Based on the guidelines of the International Fuel Tax Agreement (IFTA) and the International Registration Plan (IRP), do any vehicles in your fleet currently operate as apportioned?
Yes
No
What state or states do you currently possess an active IRP Account?
What state or states do you currently possess an active IFTA Account?
How is your Mileage / Fuel reporting currently recorded?
Paper
Electronic Data Recording System
Other
Does your fleet utilize special daily / annual permits for any states?
Yes
No
Please provide examples of permits required:
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