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Free Permit Louisiana Pilot Car Form

The Permit Louisiana Pilot Car form is a crucial document for obtaining an escort vehicle permit in Louisiana, particularly for out-of-state vehicles. This form must be completed accurately and submitted to the Louisiana Department of Transportation and Development to ensure compliance with state regulations. If you need to fill out this form, please click the button below to get started.

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The Permit Louisiana Pilot Car form is an essential document for those seeking to operate escort vehicles within the state. It is primarily used to apply for an Escort Vehicle Permit, which is crucial for ensuring the safe transport of oversized loads. For out-of-state applicants, a fee of $10 per vehicle is required, while in-state applicants can submit their requests without any charge. The form requires detailed information, including the company name, vehicle owner’s details, and contact information. Additionally, applicants must provide insurance information, demonstrating coverage for property damage and liability, with minimum requirements set at $50,000 and $100,000, respectively. Payment options are flexible, allowing for checks, money orders, or credit card information to be submitted. Importantly, while the form contains various sections for vehicle specifics, it also emphasizes that it is not a permit itself, underscoring the need for proper processing before operation. Completing this form accurately and promptly is vital for compliance with state regulations and ensuring a smooth permitting process.

Sample - Permit Louisiana Pilot Car Form

Louisiana Department of Transportation and Development

P.O. Box 94042

Baton Rouge, Louisiana 70804-9042

Attention:

Truck Permit Section

Fax Number: 225-377-7108

Application for:

Escort Vehicle Permit

Out of state $10.00 per vehicle

No fee for in state

Please enclose a check, money order, credit card information below or DOTD charge account number

Issued to Customer Number:

Paid by Customer Number:

EFFECTIVE DATE FOR PERMIT:

Company Name: ___________________________

Vehicle Owner: ___________________________

Address: _______________________________

City: _____________

State: ___ Zip: ______

City: _____________

State: ___ Zip: _______

Phone: _______________________

Phone: ______________________

Fax Number:

Email:

Complete name and address if to be mailed other than above:

Insurance Company:

Insurance Policy Number:

Insurance coverage in the amount shown below must be maintained for the duration of this Permit

Property Damage:

Liability Coverage:

($50,000.00 Minimum)

($100,000.00 Minimum)

VEHICLE INFORMATION

Make

Model

Year

Serial Number

License

State

Year

CREDIT CARD INFO (if applicable):

Card Type:

€

Visa

€

MasterCard

€

American Express

Card Number:

Expiration Date:

Name on Credit Card:

Phone# of Cardholder:

*******************************THIS IS NOT A PERMIT***********************************

_________________________________________	__ _____________________
Signature of applicant	Date

↓ Permit Louisiana Pilot Car File

Form Characteristics

Fact Name	Description
Issuing Authority	The Permit Louisiana Pilot Car form is issued by the Louisiana Department of Transportation and Development.
Application Purpose	This form is used to apply for an Escort Vehicle Permit, which is necessary for pilot cars escorting oversized loads.
Fee Structure	Out-of-state applicants must pay a fee of $10.00 per vehicle, while in-state applicants are exempt from fees.
Payment Methods	Applicants can pay using a check, money order, credit card, or a DOTD charge account number.
Insurance Requirements	Insurance coverage must include a minimum of $50,000 for property damage and $100,000 for liability.
Contact Information	The form requires the applicant to provide their contact information, including phone numbers and email addresses.
Mailing Address	Applicants can specify a mailing address different from their primary address for permit delivery.
Effective Date	The form includes a section to indicate the effective date for the permit, which is crucial for operational planning.
Governing Law	The permit is governed by Louisiana state laws related to transportation and oversized vehicle regulations.

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