State Form 56411 Route Survey - Indiana

Form State56411 is a Indiana Department of Revenue form also known as the "Route Survey". The latest edition of the form was released in October 1, 2017 and is available for digital filing.

Download a PDF version of the Form State56411 down below or find it on Indiana Department of Revenue Forms website.

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Indiana Department of Revenue
State Form 56411
(10-17)
Route Survey
Detailed Route Survey for Oversize and/or Overweight Vehicles/Loads
Indiana Permit Number: ________________________
Carrier Name: ____________________________________________
Overall Dimensions: Length ______FT ______IN
Width ______FT ______IN
Height ______FT ______IN
Total Gross Weight: _____________________pounds
Has been physically surveyed on: _______________________________
(Date Survey Performed)
And certified by: ________________________________________________________________________
(Company Performing Survey/Person(s) Performing Survey)
Origin: _____________________________________
Destination: ______________________________________________
Routes:
Does the route have swing outs?
Yes
No
If yes, list the intersections.
What turn radius does the unit have? _________________________________________
The performing company above certifies that there are safe and sufficient clearances throughout the route detailed above including
turns at all intersections and travel under all overhead structures. The gross vehicle weight as stated above does not exceed highway
and/or structural weight postings on these proposed routes. The survey has been performed no earlier than 30 days prior to application
being submitted to the department. County roads and City streets will be shown in (parentheses) for the applicant from the appropriate
authority will obtain routing continuity, but authorization for their use prior to movement.
Authorized Signature of Survey Company: ______________________________
Phone Number: _________________________
Fax all required documents pertaining to the permit number above to (317) 615-7241.
For assistance, please call the Indiana Oversize/Overweight Permit Section at (317) 615-7320.
Indiana Department of Revenue
State Form 56411
(10-17)
Route Survey
Detailed Route Survey for Oversize and/or Overweight Vehicles/Loads
Indiana Permit Number: ________________________
Carrier Name: ____________________________________________
Overall Dimensions: Length ______FT ______IN
Width ______FT ______IN
Height ______FT ______IN
Total Gross Weight: _____________________pounds
Has been physically surveyed on: _______________________________
(Date Survey Performed)
And certified by: ________________________________________________________________________
(Company Performing Survey/Person(s) Performing Survey)
Origin: _____________________________________
Destination: ______________________________________________
Routes:
Does the route have swing outs?
Yes
No
If yes, list the intersections.
What turn radius does the unit have? _________________________________________
The performing company above certifies that there are safe and sufficient clearances throughout the route detailed above including
turns at all intersections and travel under all overhead structures. The gross vehicle weight as stated above does not exceed highway
and/or structural weight postings on these proposed routes. The survey has been performed no earlier than 30 days prior to application
being submitted to the department. County roads and City streets will be shown in (parentheses) for the applicant from the appropriate
authority will obtain routing continuity, but authorization for their use prior to movement.
Authorized Signature of Survey Company: ______________________________
Phone Number: _________________________
Fax all required documents pertaining to the permit number above to (317) 615-7241.
For assistance, please call the Indiana Oversize/Overweight Permit Section at (317) 615-7320.

Download State Form 56411 Route Survey - Indiana

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