Free Permit Louisiana Pilot Car Form
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
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Louisiana Department of Transportation and Development |
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P.O. Box 94042 |
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Baton Rouge, Louisiana |
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Attention: |
Truck Permit Section |
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Fax Number: |
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Application for: |
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Escort Vehicle Permit |
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Out of state $10.00 per vehicle |
No fee for in state |
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Please enclose a check, money order, credit card information below or DOTD charge account number |
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Issued to Customer Number: |
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Paid by Customer Number: |
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EFFECTIVE DATE FOR PERMIT: |
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Company Name: ___________________________ |
Vehicle Owner: ___________________________ |
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Address: _______________________________ |
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Address: _______________________________ |
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City: _____________ |
State: ___ Zip: ______ |
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City: _____________ |
State: ___ Zip: _______ |
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Phone: _______________________ |
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Phone: ______________________ |
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Fax Number: |
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Email: |
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Complete name and address if to be mailed other than above: |
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Insurance Company: |
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Insurance Policy Number: |
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Insurance coverage in the amount shown below must be maintained for the duration of this Permit |
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Property Damage: |
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Liability Coverage: |
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($50,000.00 Minimum) |
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($100,000.00 Minimum) |
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VEHICLE INFORMATION |
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Make |
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Model |
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Year |
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Serial Number |
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License |
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License |
License |
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State |
Year |
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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***********************************
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Signature of applicant |
Date |
Form Characteristics
| Fact Name | Description |
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| 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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